ALL-INFORMATION MUST BE COMPLETE by akgame

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									INTI WOOD LLC.

ALL INFORMATION MUST BE COMPLETE AND RETURNED TO THE SALES SERVICE CENTER IN ORDER TO PROCESS THIS APPLICATION
(Please allow at least 7-14 business days to process this application) Please fax back after fill out and signature to: 714-772-1500

CREDIT APPLICATION
COMPANY NAME STREET ADDRESS MAILING ADDRESS TELEPHONE NUMBER CLASSIFICATION IMPORTANT: BUSINESS CONTRACT LICENSE # **IF MERCHANDISE PURCHASED IS FOR RESALE, AN ORIGINALLY SIGNED STATE SALES TAX RESALE CERTIFICATE MUST ACCOMPANY THIS APPLICATION** CITY CITY FAX NUMBER DATE BUSINESS STARTED STATE OF INCORPORTION FEDERAL ID# STATE ID# DUNS# STATE SATE DATE ZIP ZIP

NAME NAME

PRINCIPALS ALL PARTNERS NAMES ARE REQUIRED/PRINCIPAL OFFICERS TITLE %OF OWNERSHIP TITLE % OF OWNERSHIP

SOCIAL SECURITY # SOCIAL SERCURITY #

NAME ACCT # NAME ACCT # NAME ACCT #

TRADE REFERENCES PLEASE GIVE NAME AND COMPLETE ADDRESS (attached separate sheet if more space are needed) ADDRESS PHONE # ADDRESS PHONE # ADDRESS PHONE # BANK REFERENCES PLEASE GIVE NAME AND COMPLETE ADDRESS CHECKING ACCOUNT # CITY, STATE, ZIP FAX # FAX # FAX #

NAME ADDRESS

The undersigned hereby authorizes the Bank to release to INTIWOOD LLC. general account information. It is understood that all information will be kept confidential by INTI WOOD LLC. In consideration of the credit extended and to be extended to the applicant herein upon acceptance of this Application For Credit by INTI WOOD LLC. the parties here to agree to the following terms, conditions and covenants: (1) In making this Application for credit, Applicant hereby agrees that all amounts are payable according to the terms indicated on the invoice and if not paid on or before such date, are then delinquent. Further I/We agree to pay an interest charge of 1.5% per month (18% per annum), simple, but not in excess of the lawful maximum rate of interest under applicable law on any amount which is past due; (2) If this Application, or any obligation created under the terms of this Application, is placed with an attorney or collection agency for collection, or if collection is made through probate proceedings, the Applicant shall be liable for reasonable attorney’s fees, costs of Court, collection fees and expenses incurred by or on behalf of Creditor, regardless of whether suit is filed. Creditor is authorized to investigate and obtain credit reports regarding this Application, resulting accounts, with credit reporting agencies, banks, bonding companies, credit references, owner, office, shareholders, parties to this Application and others; (3) The Applicant further agrees that the terms of sale set forth herein constitutes the agreement between the parties as to all purchases made by the Applicant and evidenced by the individual invoices covering said purchases. The Applicant hereby certifies that all statements and representations on this Application are true and correct; that he has read and understands the above terms, conditions and covenants; and that he agrees to be bound thereby.

___________________________________________________ Signature Title Date

__________________________________________________ Signature Title Date

PERSONAL GUARANTEE
To : INTIWOOD LLC.

For and in consideration of your extending credit at my/our request to ______________________________________________________________________ (The Company) I/We, ______________________________________________________________________ hereby personally guarantee to you the payment of any obligation of the Company, and I/We hereby agree to bind myself/ourselves to pay you on demand any sum which may become due to you by the Company whenever the Company shall fail to pay the same. It is understood that this guarantee shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the Company. I/We do hereby waive notice of default, nonpayment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed. If the credit is granted, it is understood to be under the conditions set forth in the above statement of terms. Guarantor: _________________________________________ SS# ____________________________
Print Name

_________________________________________ Date: ___________________________
Signature (Agrees with Notary)

Guarantor: _________________________________________ SS# ____________________________
Print Name

_________________________________________ Date: ___________________________
Signature (Agrees with Notary)

ABOVE SIGNATURES TO BE NOTARIZED STATE OF ________________________, COUNTY OF __________________________________ I CERTIFY that on __________________________________________, 20_______ _______________________________________________________________________ personally came before me and acknowledged under oath, to my satisfaction, that this person (or more than one, each person): a) is named and personally signed this document; and b) signed, sealed and delivered this document as his or her act and deed.

NOTARY SEAL

_____________________________________
(Notary Public) (Notary Stamp with Expiration Date)


								
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