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'0 h rization to Verify Bank Deposit History M AT R I Auto Y p Y 4,neSource A Vere Employer Services Company Client Name_ Valmse Investment Group Client FEIN or Owner's SSN: 87-3780349 Name of Bank: Wells Farpo Contact Person: Daniel Rivera Bank Street Address: 461 From Road Suite 235 Bank City, State, and ZIP: Paramus. NJ 07652 Bank Telephone Number: 201.226.3042 Bank Fax: Do you have multiple accounts with this bank (check ane)? Yes ❑✓ No If yes, please record all accounts you wish to have considered: 1. Name(s) on Account: Account Number: 2. Name(s) on Account: Account Number: 3. Name(s) on Account: Account Number: Purpose: Purpose: Purpose: I authorize the release of information regarding the above listed accounts to Matrix or any affiliate thereof for the purposes of credit investigation for business puToses. Signature (Signatory on above Accounts): Printed Name of Signatory on above Accounts: Jason Gutman DO NOT WRITE BELOW THIS AREA — FOR INTERNAL AND BANK USE ONLY Date Account 1 Was Opened: # of NSF Checks Since Account Was Opened: Date Account 2 Was Opened: # of NSF Checks Since Account Was Opened: Date Account 3 Was Opened: # of NSF Checks Since Account Was Opened: Name of Bank Rep: MOSFORM-FULLPEOENROLLMENTPAGK Average Daily Balance: Last 12 Months: Average Daily Balance: Last 12 Months: Average Daily Balance: Last 12 Months: Phone and Ext. : 14 02020 MatrixOneSource