Loan/Line of credit application

Banking products and services are subject to bank and credit approval. BMO Bank N.A. Member FDIC

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Business Loans

Application checklists and addendums

Please select and complete one of the following checklists to assist us with processing your application. Mark the checkbox for the checklist you use for your

application. All of the following information must be included with your application submission: 1) the completed and executed application (include all pages

of the document, including this page), 2) the completed checklist you selected, and 3) all information/supporting documents required in the checklist. Additional

documents may be requested.

Click here to download the Business Loan/Line of Credit/Credit Card Application Checklist (Use for non-Agricultural requests)

Click here to download the Agricultural Lending/Business Credit Card Application Checklist

Please select and complete the following Business Credit Card Addendum only if you wish to apply for a business credit card product along with a business

loan/line of credit product. If you only wish to apply for a business credit card product, you must complete a Business Credit Card Application.

Click here to download the Business Credit Card Addendum - Please mark the checkbox, click the link to download the addendum, and submit the

completed addendum with your application submission.

All applications must be submitted for processing on the date the application is received from the applicant.

All Applicant and Guarantor signatures must be completed prior to submitting.

Promotion/Campaign Code

Submitting Banker name Date application received from applicant

Submitting Banker phone number

Segment (Retail, Business Banking, Premier, Private Bank) BUC number

Please submit for underwriting by e-mailing application and all required documentation to BPL[email protected]om.

FOR INTERNAL USE ONLY - SECTION MUST BE COMPLETED PRIOR TO SUBMISSION.

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SAVE AS

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Line of Credit* Standalone Letter of Credit (cash secured) Small Business Administration (SBA)** Settlement Line (required for ACH or Currency)

Amount requested Primary purpose of line of credit

Term Loan Mortgage: Owner-Occupied Commercial Real Estate Mortgage: Investor-owned Real Estate Small Business Administration (SBA)

Construction Loan (Minimum Amount of $500,000)*

Flex Loan*

Amount requested (Minimum amount of $100,000**) Requested term of loan Requested loan amortization Primary purpose of loan

* Business applicants approved for a Line of Credit or Flex Loan must have a BMO business checking account opened before loan closing.

For a Committed Line of Credit ($100,000 - $1,000,000) or Construction Loan ($500,000 - $1,000,000), borrower must maintain a 12-month average BMO balance of ≥ $250,000.

** Minimum amount $100,000 and total bank credit exposure at BMO must be greater than $100,000

Please complete section A, B or C below.

Application

B. Specialty Programs Credit Request

Applicant must also complete, sign and submit the Special Purpose Credit Program consent form with this application. Click here to access the form.

Line of Credit

(Total bank credit exposure cannot exceed $50,000)

Amount requested Primary purpose of line of credit

Eligibility Criteria: By checking the box(es) below, the business applicant certiﬁes that

1. At least ﬁfty-one percent (51%) of the business is owned and controlled by individuals that self-identify as Black or Hispanic/Latino and/or Women and/or Native American

(American Indian, Alaska Native or Native Hawaiian).

2. The business must (i) provide a Certiﬁcate of Good Standing from one of the 50 U.S. states, Washington D.C., or a tribal nation with legal code for establishing business

entities or corporations** and (ii) have a physical business presence (or in the instance where a business has no physical location, a mailing address for their headquarters)

located in at least one of the following states: Arizona, California, Colorado, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan***, Minnesota, Missouri, Nebraska,

Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas***, Utah, Washington, Wisconsin or Wyoming.

Select all Specialty Programs that apply to the business applicant

BMO for Black and Hispanic/Latino Businesses – I certify that the business applicant meets the eligibility criteria listed above.

Women in Business - I certify that the business applicant meets the eligibility criteria listed above.

BMO for Native-Owned Businesses - I certify that the business applicant meets the eligibility criteria listed above.

*Business applicants approved for a Line of Credit must have a BMO business checking account opened before loan closing.

**Sole proprietors and general partnerships may also apply for the programs.

***Businesses located in Michigan or Texas must be within 100 miles of a BMO full service retail branch.

C. Greener Future Financing Request

Applicant must also review the Greener Future Financing Inventory List; and complete, sign and submit the Greener Future Financing Use of Funds Attestation with this

application.

Click here to access the Greener Future Financing Use of Funds Inventory List Click here to access the Greener Future Financing Use of Funds Attestation

Term Loan Mortgage: Owner-Occupied Commercial Real Estate Mortgage: Investor-owned Real Estate

Flex Loan*

Amount requested (minimum amount of $100,000**)

* Applicants approved for a Flex Loan must have a BMO business checking account opened before loan closing.

** Total bank credit exposure at BMO must be greater than $100,000 but cannot exceed $1,000,000.

A. Standard Credit Request

Applicant Financial Performance Question

What is your business and personal 2023 tax status?

I ﬁled my 2023 business and personal tax returns. Please use 2023 business and personal tax returns to complete this application.

I filed an extension for my 2023 business and personal tax returns. Please use 2022 business and personal tax returns to complete this application.

Please submit a copy of the filed 2023 extension forms with your application.

You must use the personal and business tax forms for the same year and cannot use one from 2022 and another from 2023.

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Select Draw Phase: # Months; Term Phase: # Months

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Legal name of business

Address (Street address required, no P.O. Box or virtual address)

Phone Ext.

City State Zip

Email address

Email contact name

If applicable, please list all assumed business names under which the business does business.

Business NAICS Code https://www.naics.com/SEARCH/ Tax Identiﬁcation Number (TIN)

Date business established Years under current ownership

Gross annual sales

Business net income before taxes

Requests with total borrower commitment up to $50,000, please provide:

Interest expense

Depreciation expense

Business bank name Non-BMO total deposit balance

Amount of Non-BMO total deposit balance you are moving to BMO

Type of business entity: Sole proprietorship

General partnership

S corporation

Corporation

Limited liability company

Limited partnership

Limited liability partnership

Non-proﬁt

Other: _____________________

Business applicant debt (include all term loans, credit lines, commercial mortgages, credit cards used for business, etc. Use attachments if necessary.):

Amount of line or Do you plan to pay off this debt

Bank/Creditor Type of loan Current balance original loan balance Monthly payment Type of collateral with proceeds from this application?

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Term Line

Yes No

Business Applicant information

Authorized signer name

Authorized signer Social Security Number

Cell phone Email address

Address (Street address required, no P.O. Box or virtual address)

City State Zip

Identiﬁcation number Identiﬁcation type (Driver’s license / State I.D.)

State of issuance Expiration date Date of issuance

Occupation

Date of Birth (MM/DD/YYYY)

Key leader(s)

Time with organization Are you afﬁliated with a national or parent entity?

Yes No

Number of donors or giving units

Total contribution for top 3 donors or giving units

Non-proﬁt information only Check box if applicable: Control Prong

(Identify only one individual)

Control Prong: An individual with signiﬁcant responsibility for managing the legal entity customer (e.g., a Chief Executive Ofﬁcer, Chief Financial Ofﬁcer, Chief Operating Ofﬁcer, Managing Member,

General Partner, President, Vice President, or Treasurer)

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Marital Status:

Spouse’s name

Domestic partner’s name:

For individual applicants residing in AZ, CA, ID, NV, NM, TX, WA, or WI, please complete the following:

For individual applicants residing in WA, if unmarried, are you in domestic partnership? Yes No

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Banking products and services are subject to bank and credit approval. BMO Bank N.A. Member FDIC

Owner/Guarantor Information

(For applications requiring more than one Owner/Guarantor, use additional copies of this page to complete the information section

and signature)

Please provide the following information on the individual or business who owns 25% or more of the business and will act as guarantor

. Please enter your legal name as it

appears on your unexpired Driver’s License or state issued ID.

Business name (applicable only if a business other than the borrower will serve as guarantor)

First name M.I. Last name

Social Security Number/TIN Date of birth % Ownership

Residential address (Physical street address required, no P.O. Box or virtual address)

City

State

Zip

Home phone

Cell phone

Email address

Occupation

Identiﬁcation number Identiﬁcation type (Driver’s license / State ID)

State of issuance Expiration date Date of issuance

Monthly mortgage Monthly rent Total other monthly payments

Annual real estate taxes and insurance Non-BMO total deposit balance

(if included in the monthly payment mark “INC”)

Amount of Non-BMO total deposit balance you are moving to BMO

Personal income and ﬁnancial statement

Annual salary from business for last year (from last tax return)

Other household income Source(s)*

Total income

* Please describe source of other income. Alimony, child support or separate maintenance

income need not be revealed if you do not wish to have it considered.

Owner/Guarantor Credit Authorization and Consent to Share Information

The undersigned Guarantor(s) agrees that the Bank in its discretion may obtain a credit bureau report on the Guarantor(s) in order to evaluate the Guarantor’s credit worthiness and ability to meet its obligations

to the Bank and subsequently for any future purposes in connection with existing or contemplated extensions of credit to the Borrower, to the Guarantor(s) or to any other entity in which the Guarantor(s) is or is

expected to be a guarantor, owner, director, manager or ofﬁcer. The Guarantor also agrees that the Bank may exchange information about the Guarantor and its obligations under this Application with Guarantor

references, other businesses (including afﬁliates of the Bank), any other Guarantor, and credit reporting agencies and may conﬁrm any information provided by the Guarantor from any source it deems necessary

or appropriate. Receipt of an executed signature page to this Application by facsimile or other electronic transmission shall constitute effective delivery thereof. Electronic records of the executed Application

maintained by the Bank shall be deemed originals thereof.

Guarantor’s signature required (applicable only for the Business or individuals that will serve as Guarantor)

Print business name (applicable only if a business other than the borrower will serve as guarantor)

Print ﬁrst name M.I. Last name

Guarantor’s signature (To be signed by the individual named above in the Owner/Guarantor section.)

Title (if applicable)

Date

1. Cash and equivalents

2. Investable assets

3. Retirement accounts

4. Residential real estate

5. Other assets

6. Total assets (add lines 1, 2, 3, 4 and 5)

7. Credit cards

8. Mortgages

9. Other liabilities

10. Total liabilities (add lines 7, 8 and 9)

11. Net worth (subtract line 10 from 6)

Owner/Guarantor Electronic Communication Consent

To continue with the credit process, BMO may need to electronically send you documents about your application and BMO Credit products. Do you agree that BMO

can use the email address you provided to BMO to communicate with you electronically, or BMO may present these documents to you online, such as through a web

browser? Yes No

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Business Applicant Electronic Communication Consent

To continue with the credit process, BMO may need to electronically send you documents about your application and BMO Credit products. Do you agree that BMO

can use the email address you provided to BMO to communicate with you electronically, or BMO may present these documents to you online, such as through a web

browser? Yes No

Marital Status:

Spouse’s name

Domestic partner’s name:

For individual owners/guarantors residing in AZ, CA, ID, NV, NM, TX, WA, or WI, please complete the following:

For individual owners/guarantors residing in WA, if unmarried, are you in domestic partnership? Yes No

SBA Applications: Each individual or business who owns 20% or more of the business must act as a guarantor.

Owner/Guarantor Check box if applicable: Control Prong

(Identify only one individual) Ownership Prong

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Banking products and services are subject to bank and credit approval. BMO Bank N.A. Member FDIC

Additional Owner Information

Please provide the following information on all other individuals or businesses who own 25% or more of the business and will not act as Guarantor. If more than three owners,

use additional copies of this page to complete the information section. Please enter your legal name as it appears on your unexpired Driver’s License or state issued ID.

Owner 1 Check box if applicable: Control Prong

(Identify only one individual) Ownership Prong

Business name (applicable for any business that is a 25% or more Owner)

First name M.I. Last name

Social Security Number/TIN Date of birth % Ownership

Residential address (Physical street address required, no P.O. Box or virtual address)

City

State

Zip

Home phone

Cell phone

Occupation

Identiﬁcation number

Identiﬁcation type (Driver’s license / State ID) State of issuance

Expiration date Date of issuance

Vice President, or Treasurer).

Ownership Prong: Each individual, if any, who owns, directly or indirectly, 25% or more of the equity interests of the legal entity customer (e.g., natural person that owns 25% or more of the shares of a corporation).

Owner 2

Check box if applicable: Control Prong

(Identify only one individual) Ownership Prong

Business name (applicable for any business that is a 25% or more Owner)

First name M.I. Last name

Social Security Number/TIN Date of birth % Ownership

Residential address (Physical street address required, no P.O. Box or virtual address)

City

State

Zip

Home phone

Cell phone

Occupation

Identiﬁcation number

Identiﬁcation type (Driver’s license / State ID) State of issuance

Expiration date Date of issuance

Owner 3

Check box if applicable: Control Prong

(Identify only one individual) Ownership Prong

Business name (applicable for any business that is a 25% or more Owner)

First name M.I. Last name

Social Security Number/TIN Date of birth % Ownership

Residential address (Physical street address required, no P.O. Box or virtual address)

City

State

Zip

Home phone

Cell phone

Occupation

Identiﬁcation number

Identiﬁcation type (Driver’s license / State ID) State of issuance

Expiration date Date of issuance

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Banking products and services are subject to bank and credit approval. BMO Bank N.A. Member FDIC

Is the credit request for a line of credit where the total borrower commitment including the credit request is $100,000 or less? If so, no collateral is required.

Yes No

If you selected “No” for the above question, please describe the collateral in which you will grant BMO a security interest.

All business assets (includes accounts receivable, inventory assets and equipment assets), including but not limited to:

Real estate Commercial property Commercial Residential property (i.e. senior living facility)

Commercial Farm property

For Commercial Farm property (agricultural real estate), does any of the real estate being pledged include borrower’s primary residence?

Yes No

Do you have a mortgage on the property?

Yes No If yes, name of mortgage holder(s)

Purchase date Purchase price Outstanding balance Monthly payment Principal and interest Taxes and insurance Association fees Est. current value

Address City State Zip

Real Estate PIN In whose name is title held? Your relationship to title holder

BMO certiﬁcates of deposit and savings account

Name of registered owner Value Date BMO account number

BMO marketable securities (Option only applicable for marketable securities held at BMO. Retirement accounts are not eligible.):

Name of security Value Date Name of registered owner Investment account number

Other collateral options:

Vehicle (please provide copy of invoice if applicable):

Year Make Model Purchase price Title holder’s name New Used Purchase Reﬁnance

Equipment (please provide copy of invoice if applicable):

Year Make Model Purchase price Title holder’s name New Used Purchase Reﬁnance

All farm assets (including but not limited to growing crops, grain, feed, accounts receivable, equipment, livestock). Please detail, attach additional sheets if necessary.

Asset Value

Collateral information

Net accounts receivable Date

(excluding 91+days and receivables due from a related company)

Net equipment assets Date

Net inventory assets Date

Disbursement Request and Authorization

Deposit loan proceeds to your BMO business checking account?

Yes No

If yes, please provide checking account number:

If requesting a line of credit, do you want this linked to a BMO business

checking account to provide Overdraft Protection? Yes No

If yes, please provide the checking account number:

Loan/Line of credit repayment information

Automatic payments:

Yes No*

If yes, please provide the information below:

Depository bank name Account number Routing number (please provide a voided check or deposit slip)

*Interest rates on loans/lines of credit without automatic payment from a BMO business checking account be priced at a higher rate.

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Agreements of applicant

“You” and “your” refer to the authorized person(s) signing this Application on behalf of the business. “Business” and “Applicant” refer to the business entity

applying for a BMO Loan and/or Line of Credit. “BMO” and “Bank” refer to BMO Bank N.A. or its afﬁliated bank that reviews the Application and offers a loan

and/or line of credit to a qualiﬁed business. “Account” refers to the loan and/or line of credit approved by BMO. On behalf of your business and its owners/

ofﬁcers/ partners, you represent and warrant that by signing this Application (1) you are an authorized representative of the business with authority to enter

into contracts on behalf of the business; (2) you are authorized to enter into a credit agreement with BMO and to borrow money and (3) if approved, each loan

will be for a business or commercial purpose only. You certify that the information provided on the Application is accurate and complete. You agree to notify

BMO of any change to the information provided in this Application including beneﬁcial ownership information (Control or Ownership Prongs) for renewable

ﬁnancial products during any renewal period. You authorize BMO to verify information and obtain other information from credit reporting agencies and other

third parties, including information about you, personally, and the Business that BMO deems appropriate in considering the request for credit and subsequently

any future purposes in connection with existing or contemplated extensions of credit to the Business, to you or to any entity in which you are an owner, director,

manager or ofﬁcer. You agree that any such information obtained by BMO will remain the property of BMO whether or not credit is extended. You agree that the

Application may be considered by BMO for other BMO business credit products at BMO’s discretion. You also agree that BMO may exchange information about

you and your obligations under this Application with your references, other businesses, any Guarantor(s), and credit reporting agencies and may conﬁrm any

information provided by you. Receipt of an executed signature page to this Application by facsimile or other electronic transmission shall constitute effective

delivery thereof. Electronic records of the executed Application maintained by the Bank shall be deemed originals thereof. Any obligation on the part of BMO to

enter into the BMO Loan and/or Line of Credit with your Business is subject to BMO’s satisfactory completion of all of its credit and legal due diligence.

BY SIGNING THIS APPLICATION, THE APPLICANT AUTHORIZES BMO BANK N.A. TO DEDUCT OR WITHDRAW FUNDS FROM THE APPLICANT’S DEPOSIT ACCOUNT

WITH BMO BANK N.A. TO SATISFY (1) ALL AMOUNTS PAID BY BMO BANK N.A. TO THIRD PARTIES DURING THE UNDERWRITING PROCESS REGARDLESS OF

WHETHER ANY LOAN DOCUMENTS ARE ENTERED INTO BY THE APPLICANT AND THE BANK AND (2) ANY AMOUNTS OWING UNDER THE DISBURSEMENT REQUEST

AND AUTHORIZATION FORM.

If Borrower is an Individual or Sole Proprietor, check one of the boxes below. If Box B is checked below (showing intent to apply for a joint account), each

co-applicant signs below and hereby afﬁrms that they intend to apply for joint credit.

A. I am applying for an individual account in my own name and am relying on my own income or assets and not the income or assets of another person

as the basis for repayment of the credit requested. If a AZ, CA, ID, NV, NM, TX, WA, or WI sole proprietor or individual, I am relying on my own income

or assets and marital community property.

B. I am applying for a joint account or an account that another person and I will use.

C. I am applying for an individual account, but am relying on income from alimony, child support, or separate maintenance or on the income or assets of

another person as the basis for repayment of the credit requested.

Each of the undersigned hereby acknowledges and agrees to the above statements and authorizations.

Please provide signatures for ﬁelds marked with an X (if applicable).

Applicant’s signature(s) required

Print business name (if applicant is a business)

Title

Print ﬁrst name M.I. Last name Date

Applicant’s signature

Title

Print ﬁrst name M.I. Last name Date

Applicant’s signature

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NOTICES

Important information about procedures for opening a new account:

To help the government ﬁght the funding of terrorism and money laundering activities, federal law (USA Patriot Act (Title III of Pub. L. 107 56 signed into law

October 26, 2001)) requires all ﬁnancial organizations to obtain, verify and record information that identiﬁes each person who opens an account. When you open

an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask you to provide a copy of

your driver’s license or other identifying documents. For each business or entity that opens an account, we will ask for your name, address and other information

that will allow us to identify the entity. We may also ask you to provide a copy of your certiﬁcate of incorporation (or similar document) or other identifying

documents. The information you provide in this form may be used to perform a credit check and verify your identity by using internal sources and third party

vendors. If the requested information is not provided within 30 calendar days, the account will be subject to closure.

Important notice if your loan or line of credit is to be secured by a ﬁrst lien on a dwelling:

If your loan or line of credit is to be secured by a ﬁrst lien on a residential structure that contains one to four units, we may order an appraisal to determine

the property’s value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an

additional appraisal for your own use at your own cost.

Notice about sharing and use of personal information within the BMO Financial Group of Companies

BMO Bank N.A. is providing this notice. BMO Bank N.A. (“Lender”) may share with its afﬁliates in the BMO Financial Group of Companies information about your

transactions and experiences with Lender. You may not limit Lender’s right to share your transaction or experience information with its afﬁliates. Lender may

share with its afﬁliates in the BMO Financial Group of Companies information that you supply on account applications, such as your income, and information

Lender receives from third parties about you, such as your credit score. You may instruct Lender not to share this information with its afﬁliates. You may limit

Lender’s afﬁliates, including brokerage, securities and investment advisory afﬁliates, from marketing their products and services to you based on personal

information about you that they receive from Lender. This information includes your income, your account history, and your credit score. Your choice to limit

marketing offers from Lender’s afﬁliates will apply until you tell Lender to change your choice. State laws may give you additional rights to limit sharing. See

below for more information on your rights under state laws. To instruct Lender that you do not want Lender to share certain information about you or to limit

marketing offers to you from Lender’s afﬁliates, you must contact Lender at 1-888-654-0063 or visit any BMO branch. Your choices will apply to you only unless

you tell us otherwise.

The terms “you” and “your” means each Borrower and/or Guarantor who is an individual. The term “afﬁliates” means companies related to Lender by common

ownership or control. These companies can be ﬁnancial or non-ﬁnancial companies. Lender’s afﬁliates include companies with a Bank of Montreal or BMO name

and ﬁnancial companies such as BMO Investor Services.

State Law Information

For California Residents: We will not share information we collect about you with companies outside of the BMO family of companies except with your

authorization or as permitted by California law, such as to service your account. To authorize the sharing of this information, please call us toll-free at

1-888-654-0063. In addition, we will limit the sharing of information about you within the BMO family of companies to the extent required by California law.

If you are a California resident, to learn more about the personal information we collect, how it is used and stored, and what rights you may have under the

California Consumer Privacy Act, you can review our policy at at https://www.bmo.com/ccpanotice.

For Vermont Residents: We will not disclose information about your creditworthiness to our afﬁliates and will not disclose your personal information, ﬁnancial

information, credit report, or health information to nonafﬁliated third parties to market to you, other than as permitted by Vermont law, unless you authorize us

to make those disclosures. Additional information concerning our privacy policies can be found at https://www.bmo.com/en-us/main/about-us/privacy/ or call

us toll-free at 1-888-654-0063.

For Nevada Residents: Notice provided pursuant to state law. To be placed on our internal Do Not Call List, call 1-888-654-0063. For more on this Nevada law,

contact Bureau of Consumer Protection, Office of the Nevada Attorney General, 555 E. Washington St., Suite 3900, Las Vegas, NV 89101. Phone number:

1-702-486-3132; email: [email protected]te.nv.us.

US001084-2

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CALIFORNIA NOTICE OF RIGHT TO RECEIVE A COPY OF APPRAISAL

The California Business and Professions (B & P) Code requires that borrowers be notiﬁed of their right to receive a copy of any

appraisal used in making a credit decision. The B&P Code applies to real property secured loans where the collateral is located

in California. This notice is intended for loans secured by nonresidential real property only. If your loan is secured by residential

property, please refer to the notice provided in your application regarding appraisals.

You are receiving this notice because BMO will order an appraisal report (hereinafter, a “Report”) if your application for a loan or

for a subsequent credit decision is to be secured by nonresidential real property located in California. In order to receive a copy of

the Report you must sign the letter on the next page and return it to the address below no later than 90 days after the date you

receive notice of action taken on your loan (or that your application is incomplete) or the date you withdraw your application.

Please note that you are only entitled to receive the appraisal or appraisals obtained by BMO for the purpose of evaluating your

pending request for an extension of credit.

If you wish to receive a copy of the Report, please sign and return the second page of this letter to the following address.

BMO Bank N.A.

SME CREDIT OPERATIONS

AZ-FTN-10A-B

1625 W. FOUNTAINHEAD PARKWAY

TEMPE, AZ 85282

Subsequent to our veriﬁcation that you have reimbursed BMO Bank N.A. for the appraisal fee, a copy of the Report will be provided

to you within 15 days receipt of your request or receipt of the Report, whichever is later.

Sincerely,

BMO Bank N.A.

______________________________

Niamh Kristufek

Head, U.S. Business Banking

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PLEASE KEEP THIS NOTICE FOR YOUR RECORDS

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REQUEST FOR COPY OF APPRAISAL REPORT

BMO Bank N.A.

SME CREDIT OPERATIONS

AZ-FTN-10A-B

1625 W. FOUNTAINHEAD PARKWAY

TEMPE, AZ 85282

Property Address: ________________________________

________________________________

(Customer to input property address)

The undersigned hereby requests a copy of an appraisal report (“Report”) for the above-referenced property address paid for by

the undersigned in connection with the application for a loan to be secured by real property.

The undersigned acknowledges that BMO Bank N.A. (“Bank”) in providing the undersigned with a copy of the Report, does not

make and has not made any express or implied warranties of any kind respecting the Report or the real property which is the

subject of the Report, either on its own behalf or on behalf of the appraiser who prepared the Report. The undersigned further

acknowledges that the Report is prepared or obtained solely for the Bank’s internal use in evaluating the undersigned’s application

for credit to be secured by real property. Accordingly, the undersigned hereby agrees not to rely on the Report in making any

decisions concerning the condition or value of the property which is the subject of the Report and acknowledges that neither the

Bank nor the appraiser who prepared the Report shall have any direct or indirect responsibility or liability for any use of or reliance

on the Report by the undersigned or any third party who may obtain information contained in the Report as a result of its release

to the undersigned.

_______________________________________ ______________________________

(Signature of Applicant) (Date of Signature)

_______________________________________ ______________________________

(Signature of Applicant) (Date of Signature)

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PLEASE KEEP THIS NOTICE FOR YOUR RECORDS