APPLICATION INSTRUCTIONS

Similar documents
WHY SPIRITUS? Some of our Vendors

Credit Application Fax to: to:

1804 NW Martin Road ~ Forest Grove, OR ~ Phone: (503) ~~ Fax: (503) or

CREDIT APPLICATION & AGREEMENT

CREDIT APPLICATION / APPLICANT AGREEMENT

CREDIT APPLICATION. Billing Address City: State: Zip: Shipping Address City: State: Zip: DBA: Established:

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS NEW CUSTOMER

Thank you for your interest in becoming a customer of Cheney Brothers, Inc.

THANK YOU FOR YOUR INTEREST IN BILL HICKS & CO., LTD

Alaska Ship Supply Dutch Harbor / Captains Bay A division of Western Pioneer, Inc.

Lift Works, Inc. Credit Application

BECK EQUIPMENT, INC Preble Rd, Preble, NY Toll Free: (866) / Fax: (607)

CARRIER ENTERPRISE NORTHEAST, LLC ( CE ) (PLEASE PRINT CLEARLY) Credit Agreement

GRAND RAPIDS CRANE CO LLC.

Deising s Bakery and Restaurant North Front Street Kingston, New York Tel: Fax:

New Customer Package. Credit Application Contact Sheet Insurance Requirements (with example)

3776 S.R. 93 N.E., Crooksville, OH Toll Free (866) * Phone (740) * Fax (740)

COEN CARD APPLICATION AND ACKNOWLEDGEMENT OF TERMS

Co-Applicant. Phone. Fax. Business Information

**For Your Convenience We Also Accept Checks By Fax And Credit Card Payments**

These are several companies, which will not provide us credit references:

12 COMMERCE ROAD FAIRFIELD, NJ Date Territory # Customer # Type. City State Zip. Phone Cell Fax . SHIP TO: (If different) Name

C O M M E R C I A L C R E D I T A P P L I C A T I O N

Name of Individual or Legal Entity Responsible for Payment. City State Zip City State Zip. Phone Number Fax Number Phone Number Fax Number

JOINT ACCOUNT. Last Name: First Name: Initial: Date of Birth: Street Address: City, State, Zip: County:

FAIRFAX PHARMACEUTICAL WHOLESALER INC NEW CUSTOMER APPLICATION

commercial credit application

CREDIT APPLICATIONS: TRICKS AND TRAPS

*SLA LICENSE SERIAL #: *NY STATE TAX ID #:

RESELLER APPLICATION IMPORTANT NEW ACCOUNT INFORMATION

Morris Medical Center, P.A.

TO: ATTN: FAX: DATE: Credit Application. Thank you for your interest in obtaining an open account with Culverts, Inc.

COMMERCIAL ACCOUNT APPLICATION

BUSINESS REWARDS CREDIT CARD AGREEMENT (TO BE USED FOR CORPORATIONS, PARTNERSHIPS, LLCs, SERVICE ORGANIZATIONS OR OTHER BUSINESSES)

LOAN AGREEMENT R E C I T A L S

Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION

CREDIT APPLICATION & AGREEMENT. Applicant's legal name: City: State: Zip: City: State Zip. Federal ID Number: Social Security #

NATIONAL INSURANCE UNDERWRITERS, LLC. AUTO PRODUCER S AGREEMENT

Bank References By listing their names, you authorize us to contact them for the purpose of obtaining your credit status.

ATLANTIC CONCRETE PRODUCTS, INC.

Small Business Loan Checklist (Loan Exposure up to $500,000 (1) )

CREDIT APPLICATION BUSINESS OWNERSHIP BANK PROPRIETORSHIP PARTNERSHIP CORPORATION

*** N E W O P E N A C C O U N T A P P L I C A T I O N * * *

r e q u e s t f o r r e q u i r e d m i n i m u m d i s t r i b u t i o n ( R M D )

Credit Application. Complete if Corporation or LLC. Name of Entity: Date Formed: State: Tax ID#: Complete if Individual or Partnership

Standard Credit Package Attn: Brenda Koch Ph.:

Conroe Tyler Doing Business As (DBA): City: State: Zip: City: State: Zip: Phone: Fax: Web:

Welcome to Monoprice, Inc.

INSURANCE CLAIM PACKAGE

Instructions for the Business Mastercard Business Packet

CREDIT APPLICATION. On behalf of Lodge Lumber Company, Inc., I would like to thank you for your interest in doing business with our company.

CUSTOMER CREDIT APPLICATION

Allstar Fuel. Fred Garrison Oil Company Credit Application Check List. (Attach Photocopy of Permit) (Attach Photocopy of Permit)

Customer Application Cover Page. Customer Name:

VISA BUSINESS CREDIT CARD APPLICATION

AUTHORIZED DEALER REQUIREMENTS

Thank you for your interest in doing business with Warner Bros. Studio Facilities.

Account Manager: Legal Name of Firm. DBA Name of Parent Company (If subsidiary) Street: Business Mailing Address. Street: Business Shipping Address

BROKER PACKAGE TEL: (512) TEL: (978)

Welcome to the DT Global, Inc family. Establishing open terms will allow the most efficient method of product purchase and delivery.

COMMERCIAL CREDIT APPLICATION

Please submit the attached Credit Application if you are interested in obtaining credit terms with us.

APPLICATION FOR SMALL BUSINESS LOAN

Benbid.com Inc. Private Placement Subscription Agreement A

Application for Customer Status

Farmers State Bank of Calhan Visa Business Credit Card Application

LYNCH OIL COMPANY, INC. Toll Free (800) P.O. BOX Fax (407) KISSIMMEE, FLORIDA

Our standard terms are ½ percent 10, net 30 days. Please remit all payments to: AMERICAN METAL SUPPLY CO. PO BOX MIDDLETOWN, OH

FILED: NEW YORK COUNTY CLERK 08/14/ :36 PM INDEX NO /2015 NYSCEF DOC. NO. 22 RECEIVED NYSCEF: 08/14/2015. Exhibit C

Thank you for your interest in becoming a customer of Southern Glazer's Wine & Spirits of Nevada

Welcome to Ariola Imports Miami!

Store Phone Office Fax. Office Phone or Cell 24 Hour Emergency Phone. Address Web Site Address

Advantage Funding Corp

SUBSCRIPTION AGREEMENT AND POWER OF ATTORNEY Of DLP LENDING FUND, LLC

FireFold Account and Credit Application

Purpose (use of funds) Collateral: Unsecured Real Estate Vehicle Accounts Receivable Inventory Equipment Deposits/Securities Other (Describe)

Mailing Address: City: State: Zip: (If different than above) Name: SS#: DOB: Printed Name: Title:

BUSINESS LOAN APPLICATION COMPANY INFORMATION

Thank you! Anne Ball Barngrover Glass Accounts Receivable Office ext 12

Complete Credit Application (please print clearly and check for signatures) New Dealer Application (please print clearly and check for signatures)

Commercial Credit Application

INFORMATION FOR BID. Tee Shirts (School Nutrition)

Dealer Requirements. Dedicated business phone with someone answering it in the name of the business.

CREDIT APPLICATION A. FIRM NAME: Name of Parent Company if subsidiary. Owner or Partner s name(s) and title s. Street Address Zip

Funding Address: HONOR FINANCE, LLC 1214 First Ave. Suite 550 Columbus, GA F U N D I N G R E Q U I R E M E N T S

Health Savings Account Application

PEACHTREE ALTERNATIVE STRATEGIES FUND Subscription Agreement

Glenville Local Development Corporation

COMMERCIAL HARDWARE 3725 W. RUSSELL RD. LAS VEGAS, NV (702) PHONE (702) FAX

Tax Services. To see if you qualify for these products, you agree to do the following steps

INSURANCE CLAIM PACKAGE

Thank you for considering Union Bank for your commercial financing.

PACIFIC COAST REGIONAL Small Business Development Corporation

APPLICATION FOR BUSINESS CREDIT

Subscription Agreement CLASS T SHARES, CLASS W SHARES AND CLASS I SHARES

Special Financing Offers. Buy Now, Pay Over Time. Advanced Notice of Upcoming Sales

M O D E L R E C T I F I E R C O R P O R A T I O N 80 NEWFIELD AVENUE FAX: EDISON, NEW JERSEY USA TEL:

Request for Required Minimum Distribution (RMD)

AGENT/AGENCY APPLICATION FOR APPOINTMENT

In addition to the attached application, please submit the following items: Signed current aging of accounts receivable and accounts payable

Transcription:

APPLICATION INSTRUCTIONS Attached, you will find standard credit application packet. This packet has been prepared specifically for our new customers and also for existing customer credit reviews. Unless the attached forms are completed in their entirety, your application will not be processed. Remit to our secure server fax line (623) 298 2817, mailing the original wet signature application to: THE FORMS Attention: Credit Department 900 Circle 75 Parkway, Suite 1500 Atlanta, GA 30339 Application for credit. a. Please read and sign the application (If a proprietorship, the owner must sign If sale takes place in a community property state, the spouse must also sign the application If a partnership, all partners must sign If a corporation, an authorized officer/principal must sign.) It is our policy to establish credit lines only after we have received a completed, signed application. b. Until a credit line has been extended, your account will be set up COD / Certified bank check, wire transfer, debit or credit card in advance. Authorization to obtain a consumer credit report. (This is mandatory if you personally guarantee the account.) If you do not wish to guarantee the account, please write Not signing as guarantor next to the signature. This will negate the guarantee. *** Taxes: Please attach you resale certificate/permit if applicable. *** Additionally, if you require a COD account, a separate application is attached. Please mark in the checkbox (right hand corner of the first page of the application) which division you intend to purchase from: a) Flooring b) VCM c) DecoFoil d) Sign & Graphic e) Autoskin f) Surfaces g) Wall Covering No personal information (SS# or residential address) is required if your company has a Federal Tax ID #. For a speedy assessment, please provide at least 4 trade references/companies that you have an open line of credit with. Please fax it to the credit department secure fax line 1 866 227 1240. If you have any questions regarding the application, please feel free to contact our credit team Monday through Friday, 8:00am through 5:30pm Eastern Standard Time at (678) 486 8236 and we will be happy to assist you. Thank you for partnering with our company, Lori D Addario Corporate Credit Manager Auto Deco Signs & Banners Surfaces Wall Covering VCM Flooring Divisions

[ ] Surfaces [ ] Flooring [ ] Deco [ ] Auto [ ] Sign & Banners [ ] VCM [ ] Wall Covering APPLICATION FOR OPEN LINE OF CREDIT (All accounts will be set up COD/Certified funds, debit or credit card until a line of credit has been approved.) Upon approval for an open line of credit, you will be notified by letter via facsimile. Denial of credit notification will be by UPS overnight delivery. Taxes will be billed to your account until a hard copy exemption certificate or resale certificate/permit is received in our credit department (fax no. 623-298-2817) if applicable. No credit will be issued for sales taxes billed prior to receipt of document.

BUSINESS and BANK REFERENCES (Please furnish 1 bank reference and 4 credit references.) Bank Name: Phone: Acct # AGREEMENT AND CONTINUING GUARANTY The undersigned hereby makes application to ( LGHSAI ) for the extension of credit to: (Company) In the event LGHSAI approves this application and extends credit, Account Debtor promises, agrees and represents that it will pay all invoices of LGHSAI when rendered or when due. (Terms will be net 30 days from date of invoice.) In the event payment is not made in a timely manner and this account is referred for collection, the Account Debtor and the guarantors agree to pay all costs of collection, including any reasonable attorneys fees and costs, incurred by LGHSAI. Account Debtor and the guarantors also agree to pay interest and fees upon any delinquent amounts up to the maximum amount allowed under the laws of the State of Georgia. Account Debtor and the guarantors further agree that this agreement shall be governed by, and construed in accordance with, the laws of the State of Georgia and that the state, magistrate and federal courts of Cobb County, Georgia, shall have exclusive jurisdiction and venue over any claims arising from or related to the terms of this agreement. Account Debtor and guarantors hereby give LGHSAI permission to verify any and all information provided herein and agree to provide LGHSAI with financial statements and such other information as may be reasonably requested from time to time by LGHSAI. LGHSAI, Account Debtor and the guarantors represent and agree that they have read the entire contents of this agreement, and that this agreement represents the entire understanding and agreement between them and that no representations or agreements have been made with respect to those matters other than those contained in this agreement. No term, covenant, agreement or condition of this agreement may be amended or modified unless in a writing executed by all of the Parties. LGHSAI, Account Debtor and the guarantors further acknowledge that they are entering into this agreement freely and voluntarily, with a complete understanding of its terms, and that they have had an opportunity to review the terms of this agreement with counsel of their choice, if any. In consideration of the extension of credit by ( LGHSAI ) of 900 Circle 75 Parkway Suite 1500, Atlanta, GA 30339 to at (Company) ( Account Debtor ), the undersigned hereby (Address) gives our continuing unconditional guaranty of any and all indebtedness of Account Debtor to LGHSAI, now existing or subsequently incurred. This is a continuing guaranty, and until revoked in writing, it shall apply to any and all indebtedness of any kind. The undersigned hereby waives notice of acceptance, notice of non-payment, protest, and notice of protest, with respect to any and all obligations covered by this continuing guaranty. Applicant/Account Debtor: (If a partnership, please attach a separate sheet of paper reflecting all partner information. If you do not wish to personally guarantee this account, please write the words, Not signing as guarantor next to your signature and initial. This will negate the personal guaranty. For companies with a federal tax I.D. number, no personal information or social security no. on the principle of the company is required. By: (Principle/Officer Signature) Its: Guarantor Print Name Residential Address Telephone # Fax # Social Security # Guarantor (spouse) Print Name Residential Address Telephone # Fax # Social Security #

The undersigned gives consent to to obtain a consumer credit report to further assess the credit worthiness in respect to the undersigned as proprietor(s), partner(s), principal(s), member(s) and/or guarantor(s) in association with the extension of business credit as reflected on the undersigned s business credit application. I/we also give our consent for to gain access to a business credit report from time to time in correlation to the extension and/or continuance of the business credit corresponding to the credit application submitted. Signature: Date: Printed Name: Social Security No: Signature: Date: Printed Name: Social Security No:

APPLICATION FOR C.O.D. ACCOUNT LG HAUSYS AMERICA, INC. [ ] Surfaces [ ] Flooring [ ] Deco [ ] Auto [ ] Sign & Banners [ ] VCM [ ] Wall Covering *** Taxes will be billed to your account until a hard copy exemption certificate or resale certificate/permit is received in our credit department. (Fax no. 623-298-2817.) No credit will be issued for sales taxes billed prior to receipt of document. Payment terms on COD Accounts are Bank Certified check, wire transfer, debit or credit card in advance.*** Date: Contact Name: Billing Address: City, State, Zip: Telephone: Federal Tax ID # State of formation or corporation: How long in business: Company Name: Email Address: Shipping Address: City, State, Zip: Fax: State Resale/Permit No.: Type of Business: Ownership type: Corporation LLC Partnership Proprietorship MANAGEMENT OF COMPANY (Please attach a separate paper with additional names if partnership.) (Residential address and social security no. is required if your company does not have a Federal Tax I.D. Number.) President/CEO: Name Residential Address Telephone No. Social Security # Vice President: CFO: Name Residential Address Telephone No. Social Security # Name Residential Address Telephone No. Social Security # The undersigned hereby makes application to ( LGHSAI ) for the extension of credit to: (Company) In the event LGHSAI approves this application and opens said COD Account, Account Debtor promises, agrees and represents that it will pay all invoices of LGHSAI when rendered or when due by Certified check, money order, debit or credit card and agrees to pay the cost of collection, including reasonable attorneys fees incurred if warranted. Account Debtor also agrees to pay interest upon any delinquent amounts at the highest rate allowed under the laws of the State of Georgia. Account Debtor hereby gives LGHSAI permission to verify any and all information provided herein.

September 12th 2011 To Our Valued Customers: Please be advised that effective immediately there is a new corporate policy on all non open terms accounts (previous COD accounts) in respect to payment. Effective immediately, all orders will be paid in advance. There will be (3) vehicles of payment as follows: Credit or Debit card Certified Bank Check payable to LG Hausys (Your order will be released upon receipt of check at our Corporate office) o Check must specify : LG Hausys sales order number Your company name Your company address o Without the above information listed on your check, your order will not be released. o Check to be mailed to: LG Hausys Corporate Office Attention Pre payment division 900 Circle 75 Parkway, Suite 1500 Atlanta, GA 30339 Wire Transfer o Instructions as follows: Bank of America Beneficiary: Bank Address: 100 West 33rd Street, New York, NY 10001 ABA: 026009593 Account #: 12333 03765 Swift Code: BOFAUS3N We at LG Hausys thank you for your business and look forward to continuing the partnership between our companies. Best Regards, Lori D Addario Corporate Credit Manager 900 Circle 75 Parkway, Suite 1500 Atlanta, GA 30339 Main Phone: (678) 486 8250 Credit Fax: (866) 227 1240