AMSTER PLUMBING & HEATING SUPPLY CREDIT!APPLICATION!

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1 AMSTER PLUMBING & HEATING SUPPLY CREDITAPPLICATION FirmName: Streetaddress: City: State: ZipCode: Telephone: Fax: Principals/Owners: 1)PrintName: Signature: 2)PrintName: Signature: WaterMeters*Plumbing*Heating*PVF*FireProtection*WaterWorks 1045AtlanticAveBrooklyn,NY11238 Telephone:(718)855M0455Fax:(718)855M9131 Website:

2 TERMSOFSALECREDIT WhenandifcreditisgrantedbyGAFFNEYPLUMBING&HEATINGSUPPLY,totheapplicantitisunderstoodand agreed by the undersigned that the terms of the sale are 2% 10 days; net 30 days; 1 1/2% per month will be chargedonallamountsperourterms.therewillbea1.5%chargeforanypaymentsmadebycreditcard.any dispute, disagreement, conflict of interpretation or claims between the parties hereto which exceeds the aggregatesumof$3,000shallbedeterminedbyarbitration. Whenandifthisaccountisplacedinthehandsofanattorneyorcollectionagencyforcollectionofanyamounts unpaidandowing,theapplicantandbuyeragreestopayattorney sfeesorcollectionagencyfeesforcollectionin additiontotheamountoftheunpaidbalancedueandowingincludingserviceandinterestcharges. Any material furnished remains the property of GAFFNEY PLUMBING & HEATING SUPPLY, until fully paid for in cash.wecharge20%forallhandlingofgoodsreturned.allclaimsandreturnedgoodsmustbeaccompaniedbyits invoice. The undersigned applicant for credit agrees that the enclosed information is submitted for the purpose of obtainingcreditfromgaffneyplumbing&heatingsupply,anditistrueandauthorizesitsusebygaffney PLUMBING & HEATING SUPPLY, for any other purpose. In the event of any unpaid invoices, I hereby authorize sellertochargethefollowingcreditcard. PRINCIPAL<OWNERDATE PLEASESIGNNAME PLEASEPRINTNAME PRINCIPAL<OWNERDATE PLEASESIGNNAME PLEASEPRINTNAME BUYERAPPLICANTCREDITCARDINFORMATION MC VISA AMEX CREDITCARD# EXP SECURITYCODE NAMEONCREDITCARD: BILLINGADDRESSOFCREDITCARD: CITY STATE ZIP

3 We(I)herebymakeanapplicationtoopenacreditaccountandsupplytheenclosedinformationpertinentdata Relativetoour(my)businessoperation,whichwe(I)representistrueandcomplete. BUSINESSISA(N): Individual Partnership Corporation LLC DBA: BUSINESSINFORMATION: BusinessAccountwith BankAddress&Telephone BankAccountNumber RealEstateOwnedbyBus. VehiclesOwnedbyBus. LicensePlateNo. sofvehicles NumberofyearsinBusiness TaxExemptNumber Amountofcreditrequired FederalTaxID# PersonalInformation:Owner,PrincipalPartner,2 nd Principal Fullname Spouse sname SocialSecurity# HomeAddress City,State,Zip HomePhoneNumber HomeOwnedinwhatname PersonalBankAccount# LicensePlate#ofVehicles CREDITREFERENCES:Reference#1Reference#2Reference#3 CompanyName StreetAddress Telephone# Facsimile#

4 ContactPerson PRINCIPALPERSONALGUARANTY FORAVALUABLECONSIDERATIONandinconsiderationofcreditgivenortobegivenfromtimetotimeto hereinafter called the debtor, by Hereinaftercalledthecreditor,theundersigneddohereby,jointlyand severally guarantee thefullandpromptpaymenttosaidcreditorofallindebtedness, obligations and liabilities of said creditor now existing or hereafter created or arising, whether direct, indirect, joint or several,howsoeverowed,heldoracquiredbythecreditorwhetherbynote,checkoverdraftorotherwise: andtheundersignedfurtheragreestopayallexpenses,includinglegalexpenses,courtcostsandattorney s feespaidorincurredbysaidcreditorinendeavoringtocollectsuchindebtednessoranypartthereoforin enforcing this Guaranty. The right of recovery, however, against is limited to the sum of $ plusinterestontheindebtednessandallexpenseshereinabovereferredto. This is a continuing absolute and unconditional Guaranty and shall continue in force with respect to all indebtednessorthedebtoruntilrevokedinwritingashereafterprovided.anyoftheundersignedmay,by servingwrittennoticetothateffortuponthecreditor,discontinuehisliability,butonlyastoindebtedness arisingorcreatedaftertheserviceofsuchnotice.theliabilityofeachoftheundersignedisabsoluteand unconditional and is not conditioned or contingent upon any other party signing this Guaranty or the obtaining of any security upon any of said indebtedness or the obtaining of any other party signing this Guarantyortheobtainingofanysecurityuponanysaidindebtednessoranyothermatter. The liability hereunder shall, in no wise, be affected or impaired by (and the creditor is hereby expressly authorizedtomakefromtimetotimewithoutnoticetoanyone)anysale,pledge,surrender,compromise, settlement, release, renewal, extension, indulgence, alteration, substitution, exchange, change in, modificationorotherdispositionofanyofsaidindebtednessoranycontractevidencingthesameoranypart thereof,orofanysecuritytherefor.theliabilityhereundershallinnowisebeaffectedorimpairedbythe acceptanceofthecreditorofanysecurityfororadditionalpartiesuponortheguarantorsuponofthesaid indebtedness,orbyanyfailure,neglectoromissiononthepartofthecreditortorealizeorprotectanyof saidindebtednessoranysecuritytherefor,ortoexerciseanyremediesthatitmayhaveoranylienuponor rightofappropriationofanymonies,creditsorpropertyofsaiddebtorpossessedbythecreditortowardsthe liquidationofsaidindebtedness,orbyapplicationofpaymentsorcreditsthereon.noactofcommissionor omissionofanykindoratanytimeuponthepartofthecreditorinrespecttoanymatterswhatsoevershall, in any wise, affect or impair this Guaranty. Said creditor shall have the exclusive right to determine how, whenandonwhatapplicationofpaymentsandcredits,ifany,shallbemadeonsaidindebtedness,whether thendueornotandshallbeundernoobligationatanytimetoresortforpaymenttosaiddebtororother personsorcorporations,ortoresorttoanysecurity,property,liensorotherrightsorremedieswhatsoever. Alldiligenceincollectionorprotectionandallprotestandnoticeofeverykindandcharacterastoanyone, includingtheundersigned,ofdefault,dishonorandnonmpaymentofandofthecreationandexistenceofany andallofsaidindebtednessoranycontractevidencingthesameoranypartthereofandofanysecurityand collateral therefor and of the acceptance of this Guaranty and of any and all extensions of credit and indulgenceshereunderareexpresslywaived. Page1of2

5 Thecreditorisauthorizedtograntcreditfromtimetotimewithoutnoticetotheundersignedinexcessofthe amounttowhichthisguarantyislimited,withoutinanywiseaffectingorimpairingthisguaranty.thisguaranty shall be binding upon the heirs, executors, administrators, successors and assigns of the undersigned and shall insuretoandmaybeenforcedbysaidcreditors,itssuccessorsandassignsandalsobyanypersontowhomallor any part of said indebtedness may be sold or transferred. PROVIDEDHOWEVER,thatintheeventsuchsaleor transfercoversonlyapartoftheindebtednessherebyguaranteed,thecreditorshallhavetherighttoenforcethis Guarantyastotheremainderoftheindebtednessretainedandownedbyit. Suitsfortheenforcementofthisguarantymaybebroughtsuccessivelyagainstoneormoreoftheundersigned. Thecreditormaycompoundorsettlewithanyoneoftheundersignedwithoutreleasing,orimpairingit srights againsttheothersoftheundersigned,butsuchcompoundingorsettlementshall,asbetweentheundersignednot impair the rights of the undersigned among themselves including the right of contribution or subrogation. This GuarantyshallbegovernedbyandaccordancewiththeLawsoftheStateofNewYork. SIGNEDANDDELIVEREDthisthe dayof HOMEADDRESS CITY STATE ZIP SIGNPRINCIPALNAME PRINTPRINCIPALNAME SOCIALSECURITY# HOMEADDRESS CITY STATE ZIP SIGNPRINCIPALNAME PRINTPRINCIPALNAME SOCIALSECURITY# HUSBAND&WIFEMUSTBOTHSIGN(NOTCORPORATELY)ANDHAVENOTARIZED NOTARY NOTARY PAGE2OF2

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