This document authorizes Balboa Capital Corporation to disburse funds for equipment financing according to an agreement. It certifies that equipment described in Exhibit A was delivered and accepted by the debtor. The debtor acknowledges their non-terminable payment obligation begins and that Balboa is not responsible for any equipment issues. It provides payment details and contact information for the debtor.
This document authorizes Balboa Capital Corporation to disburse funds for equipment financing according to an agreement. It certifies that equipment described in Exhibit A was delivered and accepted by the debtor. The debtor acknowledges their non-terminable payment obligation begins and that Balboa is not responsible for any equipment issues. It provides payment details and contact information for the debtor.
This document authorizes Balboa Capital Corporation to disburse funds for equipment financing according to an agreement. It certifies that equipment described in Exhibit A was delivered and accepted by the debtor. The debtor acknowledges their non-terminable payment obligation begins and that Balboa is not responsible for any equipment issues. It provides payment details and contact information for the debtor.
The undersigned hereby certifies that all the property described below (the "Equipment") which is to be financed for the undersigned pursuant to the Equipment !inancing "greement #o$ _____________dated as of (the ""greement") between Balboa Capital Corporation and the undersigned as %ebtor has been furnished to the undersigned that deli&ery and installation has been fully completed and that the Equipment is acceptable in all respects to the undersigned$ 'n &iew of the abo&e the undersigned hereby authori(es and requests you to pay for the Equipment in accordance with the terms of any purchase orders the undersigned may ha&e issued for the same and)or to pay the undersigned the ad&ance amount to the e*tent the undersigned has pre&iously paid for the Equipment as appropriate$ The undersigned ac+nowledges that you are relying upon this e*ecuted %eli&ery and "cceptance Certificate in so doing$ %ebtor hereby authori(es Creditor to disburse the Total "d&ance as follows: ,ayee #ame "mount ______________________________________________________________________ ______________ ______________________________________________________________________ ______________ ______________________________________________________________________ ______________ ______________________________________________________________________ ______________ Total "mount to be %isbursed ______________ EQUIPMENT - SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. The undersigned recogni(es that by e*ecuting this %eli&ery and "cceptance Certificate the undersigned-s non.terminable installment payment obligation under the "greement will commence$ The undersigned reaffirms its understanding that the "greement is solely a financing agreement and that accordingly you ha&e made no e*press warranties as to the Equipment of any other matter and that there are no related implied warranties created by law and further that accordingly the undersigned/s obligation to pay amounts due under the "greement will not be affected by any problems the undersigned e*periences with the Equipment or any similar or dissimilar occurrence as also set forth in the "greement$ %ate Equipment accepted by %ebtor (Acceptance Date) (%ate) Email Address or In!oi"in#$ 0000000000000000000000000000000000000000000000000000000 %a& N'mber or In!oi"in#$ 000000000000000000000000000000000000000000000000000000000 Cell N'mber: 00000000000000000000000000000000000000000000000000000000000000000000 Attention To: 00000000000000000000000000000000000000000000000000000000000000000000 "Delivery of thi !o"#$e%t &e'ri%( ' f'"i$ile i(%'t#re or i(%'t#re h'll h've the '$e for"e '%! e)e"t ' if the !o"#$e%t &ore '% ori(i%'l i(%'t#re." Debtor Name$ _____________________________________________________________________________ B($ __________________________________________ Name$ ________________________________________ Title$ _________________________________________ Date$ ___________________________ EFA302