BEST PARKING LOT CLEANING

Best Parking Lot Cleaning, Inc. P.O. BOX 159 SUMNER , WASHINGTON 98390 1-800-310-7406 fAX 253-770-0724 ~~~ CREDIT APPLICATION ~~~ FIRM NAME: __________________________________________________________ DATE: BILLING ADDRESS: __________________________________ PHONE: ___________________ _________________ CITY, STATE, ZIP: _____________________________________________________ FAX: _____________________ STREET ADDRESS: ____________________________________________ CITY, STATE, ZIP: _ ____________________________________________________ CONTRACTOR LIC # UBI # _________ ______ TAX ID #___________________ ___________________ L&I #________________________ ES #______________________ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ DESCRIPTION OF BUSINESS: OWNERSHIP: ___ CORPORATION ___________________________________ ___ PARTNERSHIP ___ PROPRIETORSHIP ___ OWN __________________ ___ OTHER: ______________ ___ LEASE ___ RENT YEARS ESTABLISHED: ____________ BUSINESS LOCATION: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ INDIVIDUAL OR PROPRIETORSHIP: NAME: HOME ADDRESS: _______________________________ RESIDENCE PHONE: ___________________________________ STATE: ______________ _________________ CITY: ___________________________________ ZIP: _______________ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ PARTNERSHIP OR CORPORATION OR OTHER: NAME: HOME ADDRESS: _______________________________ RESIDENCE PHONE: ___________________________________ STATE: ______________ _________________ CITY: ___________________________________ ZIP: _______________ NAME: HOME ADDRESS: _______________________________ RESIDENCE PHONE: ___________________________________ STATE: ______________ _________________ CITY: ___________________________________ ZIP: _______________ NAME: HOME ADDRESS: _______________________________ RESIDENCE PHONE: ___________________________________ STATE: ______________ _________________ CITY: ___________________________________ ZIP: _______________ Page 1 of 3 Best Parking Lot Cleaning, Inc. P.O. BOX 159 SUMNER , WASHINGTON 983901-800-310-7406 fAX 253-770-0724 ~ CREDIT APPLICATION – TRADE REFERENCES ~ NAME: ______________________________________ ACCT #: __________ _________________ ADDRESS: ___________________________________________________ CONTACT:___________________________ CITY, STATE, ZIP: _ _________________________________________________________________________________ PHONE: ____________________ FAX: _______________________________________________ NAME: ______________________________________ ACCT #: __________ _________________ ADDRESS: ___________________________________________________ CONTACT:___________________________ CITY, STATE, ZIP: _ _________________________________________________________________________________ PHONE: ____________________ FAX: _______________________________________________ NAME: ______________________________________ ACCT #: __________ _________________ ADDRESS: ___________________________________________________ CONTACT:___________________________ CITY, STATE, ZIP: _ _________________________________________________________________________________ PHONE: ____________________ FAX: _______________________________________________ NAME: ______________________________________ ACCT #: __________ _________________ ADDRESS: ___________________________________________________ CONTACT:___________________________ CITY, STATE, ZIP: _ _________________________________________________________________________________ PHONE: ____________________ FAX: _______________________________________________ NAME: ______________________________________ ACCT #: __________ _________________ ADDRESS: ___________________________________________________ CONTACT:___________________________ CITY, STATE, ZIP: _ _________________________________________________________________________________ PHONE: ____________________ FAX: _______________________________________________ Page 2 of 3 Best Parking Lot Cleaning, Inc. P.O. BOX 159 SUMNER , WASHINGTON 983901-800-310-7406 fAX 253-770-0724 ~ CREDIT APPLICATION – BANK REFERENCES ~ YOUR BANK: ____________________________ CONTACT: ___________________________ ADDRESS: ______________________________________________________________________________________ CITY, STATE, ZIP: _ ______________________________________________________________________________ PHONE: ____________________ BRANCH: _________________________________________ PERSONAL GUARANTY REQUIRED The person signing below is an owner of or otherwise affiliated with the Borrower. By signing below, you authorize the Bank to obtain credit information from any source (including but not limited to consumer reports from consumer reporting agencies) about you individually in connection with the Application and the administration of any credit facility that may be granted as a result of the Application, to the extent not prohibited by law. The Application will be the Bank’s property whether or not credit is granted. The Guarantor unconditionally guarantees and promises to pay all present and future obligations of the Borrower to the Bank (“Obligations”), including without limitation all Obligations arising under or in connection with the Agreement and any other credit agreements between Borrower and the Bank (together with all related document’s “Documents”). Guarantor understands late payments, missed payments, or other defaults on obligations by the Borrower may be reflected in Guarantor’s consumer credit report. The Guarantor accepts and agrees to be bound by the Documents. The Guarantor waives any right to receive a separate copy of the documents including the Application and the Agreement. The Bank may amend,modify, or extend the Agreement and grant any other indulgences to the Borrower without releasing or modifying the obligations of the Guarantor. The Guarantor waives all requirements of notice, acceptance, demand and presentment, and protest and any other defense that may be available to a Guarantor. The Guarantor shall be directly and primarily liable for the Obligations jointly and severally with the Borrower and any other Guarantor. The Guarantor grants the Bank a right of setoff against all deposits and property of the Guarantor now or hereafter in the Bank’s or one of the Bank’s affiliate’s possession without regard to the adequacy of any collateral. No modification or waiver or any provision of this Guaranty will be effective unless in writing signed by the Bank. This Guaranty shall inure to the benefit of any subsequent holder of the Documents, is intended to take effect as an instrument under seal and shall be governed by the laws of the state which govern the Documents. GURANTOR’S LAST NAME____________________________________________________ GURANTOR’S FIRST NAME_________________________________________ SOCIAL SECURITY # __________-_______-__________ DATE OF BIRTH ________________________ HOME PHONE #________________________________________ MM/DD/YYYY GURANTOR’S STREET ADDRESS___________________________________________ CITY_________________ STATE__________ ZIP CODE___________________ ________________________________________________________ PRINTED NAME OF GURANTOR ______________________________________________________ SIGNATURE OF GURANTOR ____________________ DATE TERMS OF WORK PREFORMED: Applicant authorizes the creditor to make inquiry of financial and related matters for the purpose of granting credit. Interest will be charged at 1.5% per month; 18% annual rate in compliance with state statutes. Upon default of payment, applicant agrees to pay all collection costs, liens, and reasonable attorney fees that may be incurred. Terms are net 30 for invoices under $2,000; invoices over $2,000 are net 10 unless prior arrangements have been made. The information provided in this credit application is warranted to be true and I/we agree to the above terms and conditions. APPLICANT’S NAME: ______________________________________________ TITLE: _________________________ (please print) SIGNATURE: __________________________________________________ DATE: __________________________ APPLICANT’S NAME: ______________________________________________ TITLE: _________________________ (please print) SIGNATURE: __________________________________________________ DATE: __________________________ Page 3 of 3