On July 6, 2017, the Court of Queen's Bench of Alberta (the "Court") granted an Order (the "Consent Receivership Order") whereby Alvarez & Marsal Canada Inc. ("A&M") was appointed receiver (the "Receiver") of Crelogix Acceptance Corporation, Crelogix Credit Group Inc. and Crelogix Portfolio Services Corporation ("Crelogix" or the "Company"). Crelogix is a non-bank consumer financial services corporation, incorporated pursuant to the laws of British Columbia and registered extra provincially in the Province of Alberta.

For a copy of the Consent Receivership Order and additional information related to the Receivership proceedings, please visit www.alvarezandmarsal.com/crelogix.

The Borrower(s) hereby authorize Crelogix and any of its representatives or partners to collect, use and disclose my personal information for the purposes of investigating and providing financial services. I have been informed by Crelogix or its partners or representatives, that my personal information is collected, used and disclosed for the following purposes: (1) to collect credit and related financial information from me, from credit agencies, and from any parties listed herein, (2) to use the information collected to determine my financial situation, to provide financial services I have requested and to offer additional products and services of Crelogix that may be of benefit to me, (3) to share the information with assignees, bankers or funding partners of Crelogix, (4) to share the information collected and any information on my commercial dealings with Crelogix credit agencies or other financial institutions. Further, I specifically acknowledge that Crelogix may assign this agreement and any related agreements in whole or in part from time to time and I agree that any personal information collected in relation to this agreement may be made available to any such proposed assignee.

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