Authorization for Automatic Payments I authorize…

                 Authorization for Automatic Payments
I authorize NorthMarq Capital and the bank named below to initiate variable entries to my checking/savings
account. This authority will remain in effect until I notify you or the bank in writing to cancel it in such time as
to afford the bank a reasonable opportunity to act on it. I can stop payment of any entry by notifying you or
the bank thirty (30) days before my account is charged.


   Name and Address of Your Financial Institution


   Signature                                                                                   Date


   Name of Borrower/ Borrowing Entity                                                          NorthMarq Loan Number


   Borrower Billing Address


   Billing Contact Person                                                                      Phone Number

                                                 or                                     and
   Checking Account Number                             Savings Account Number                  Bank Routing Number




      The bank will automatically deduct the payment due from my account on the
      due date of the payment or the first business day thereafter.



                                                      Return this form to:




                                      3500 West American Boulevard, Suite #500
                                           Bloomington, MN 55431-4413


                 Attach a Voided Check to Ensure Proper Set Up
            Automatic Payment Can Not be set up without a voided check or, for savings accounts only, deposit slip.
            Please allow three weeks for first automatic payment. You will be notified before first payment is taken.