STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT CUSTOMER AUTHORIZATION OF DISCLOSURE OF FINANCIAL RECORDS DBOQR 500.265 (Rev. 10-17) Pursuant to Corporations Code Section 31111 and Government Code Sections 7470 and 7473, any financial institution, wherever situated, possessing financial records of the sale of , a franchise registered under the California Franchise Name of Franchise Investment Law, by Name of Registrant Under the Franchise Investment Law is hereby authorized to disclose to the California Department of Business Oversight records of the sale of the above-named registered franchise whether such records relate to accounts which have been closed, accounts which are currently maintained, or accounts which are hereafter established. This authorization is effective as of the date of execution and shall remain effective until five years after the expiration or revocation of the above-named franchise registration, including renewals of such registration. This authorization may not be revoked. The terms used in this authorization shall have the definitions contained in the California Right to Financial Privacy Act (Government Code Section 7460 et seq.) and the Franchise Investment Law (Corporations Code Section 31000 et seq.). The above-named registrant has duly caused this authorization to be signed on its behalf by the undersigned, thereunto duly authorized. Executed on , 20 , at Department of Business Oversight Name of Registrant File Number By Title American LegalNet, Inc. www.FormsWorkFlow.com