Personal Financial Statement

Corporate or business financial information:  Attach your most recent complete   financial  statements.

The information supplied by me on this application is true and correct to the best of my knowledge.  I       understand that investigation may be made as to my character, general reputation, personal, characteristics and mode of living, and I understand that necessary credit and reference inquiries will be made. I hereby   authorize the release of such information to Pick-Em Up Truck Store Franchising Corporation.

                    Signature                                                                   Date