Wilbur Curtis Co., Inc Acco Street Montebello CA, Phone# (323) Fax # (323)

Similar documents
Please complete, sign, and return the attached application and additional documents, when required, to the fax number or address shown above.

NEW ACCOUNT & CREDIT APPLICATION. SHIP TO: (If different from Bill To) How would you like to receive invoices? (Choose 1) Fax ( /Fax#)

Lotus & Windoware Account Application

Authorized Purchasers: (I (I agree to notify Lotus & Windoware, Inc. immediately if this authorization changes.)

Lotus & Windoware Account Application

Partnership Agreement 2680 United Lane Elk Grove Village, Illinois

CREDIT APPLICATION. Principal Owners or Officers Name Title Social Security # Home Address. Phone #

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

Dealer/Reseller Application

Instructions for Completing the UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION

Online* Yes No I agree to adhere to MAP Policy: Yes No *Online customers are subject to approval

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

NEW CUSTOMER PROFILE AND INFORMATION PACKET

NEW CUSTOMER PROFILE AND INFORMATION PACKET

UNIFORM SALES & USE TAX CERTIFICATE

BUSINESS CREDIT APPLICATION

Business Application

UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION

Fill-In Tax Certificates

MooreCo New Dealer Application

SUBMISSION OF SALES TAX NUMBERS

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017

WIZARDS OF THE COAST HASBRO, INC. SALES ACCOUNT APPLICATION

Uniform Consent to Service of Process

Property Tax Relief in New England

Reseller Application

IRA Distribution Request Instructions and Form

SIGNIFICANT PROVISIONS OF STATE UNEMPLOYMENT INSURANCE LAWS JANUARY 2008

Q4 Material Handlers Sales Promotion Date: 10/01/11-12/31/11 Program #: FUCHS

IRA Distribution Form

Tax Breaks for Elderly Taxpayers in the States in 2016

RLI TRANSPORTATION A Division of RLI Insurance Company 2970 Clairmont Road, Suite 1000 Atlanta, GA Phone: Fax:

Older consumers and student loan debt by state

TCJA and the States Responding to SALT Limits

Desjardins Bank ATIRAcredit Serenity Mastercard

Cost and Coverage Implications of the ACA Medicaid Expansion: National and State by State Analysis

The Acquisition of Regions Insurance Group. April 6, 2018

Streamlined Sales Tax Governing Board and Business Advisory Council Update

2016 Workers compensation premium index rates

Request for Disbursement Vermont State Teachers Retirement System 403(b) Plan

State Treatment of Social Security Treatment of Pension Income Other Income Tax Breaks Property Tax Breaks

Presentation to Southern Employee Benefits Conference

COMPREHENSIVE COVERAGE

Local Anesthesia Administration by Dental Hygienists State Chart

2016 GEHA. dental. FEDVIP Plans. let life happen. gehadental.com

Florida 1/1/2016 Workers Compensation Rate Filing

Presented by: Matt Turkstra

Federal Tax Reform Impact on 2019 Legislative Sessions: GILTI

FROM THE SOURCE, LLC WELCOME LETTER

2180 Satellite Boulevard, Suite Duluth, GA Website: Tel: Toll Free: Fax:

The Lincoln National Life Insurance Company Term Portfolio

Comparative Revenues and Revenue Forecasts Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas

Q4 Articulated Truck Sales Promotion Date: 10/01/11-12/31/11 Program #: ARTIC

Charts with Analysis: Tax Tax Type: Sales and Use Tax Topic: Cash for Clunkers Payments

Please print using blue or black ink. Please keep a copy for your records and send completed form to the following address.

State Trust Fund Solvency

Percent of Employees Waiving Coverage 27.0% 30.6% 29.1% 23.4% 24.9%

The State Tax Implications of Federal Tax Reform Legislation

CONTINGENT COVERAGES AVAILABLE FOR AUTO LESSORS

Tax Freedom Day 2018 is April 19th

Charles Gullickson (Penn Treaty/ANIC Task Force Chair), Richard Klipstein (NOLHGA)

ehealth, Inc Fall Cost Report for Individual and Family Policyholders

A. FORM W-9 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER (TIN) AND CERTIFICATION (Please type or print) Legal Name of Entity (must match TIN)

State and Local Sales Tax Revenue Losses from E-Commerce: Estimates as of July 2004

Taxing Investment Income in the States New Hampshire Fiscal Policy Institute 2 nd Annual Budget and Policy Conference Concord, NH January 23, 2015

Unemployment Insurance Benefit Adequacy: How many? How much? How Long?

AUTO LEASE Insurance Program

For Standard Mail Delivery: The Hartford Mutual Funds PO Box St. Paul, MN The Hartford Mutual Funds

PRODUCTS CURRENTLY AVAILABLE FOR SALE. Marquis SP

State Sales Tax on Drop Shipments: Navigating Various States' Rules on Registrations and Exemptions

Yolanda K. Kodrzycki New England Public Policy Center Federal Reserve Bank of Boston

Introduction to Washington Business Taxes

SUTTER INSURANCE COMPANY 1301 Redwood Way, Suite 200, Petaluma, CA COMMERCIAL AUTO PHYSICAL DAMAGE APPLICATION CA

Report to Congressional Defense Committees

Application Trade Credit Insurance Multi Buyer

Gun Club General Liability Application for Coverage

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

2018 National Electric Rate Study

Corporate Income Tax and Policy Considerations

2017 Supplemental Tax Information

IMPORTANT TAX INFORMATION

Attention; Benefits/Human Resources office - Please send completed form to our address or fax number. Questions?

Name of Applicant Soc Sec # _ / / Marital Status (Circle One): Single Married Divorced Widow(er) Name of Spouse Date of Birth / / Soc Sec # _ / /

Tax Freedom Day 2019 is April 16th

Massachusetts Budget and Policy Center

CWA Savings & Retirement Trust

Frequently Asked Questions on Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2015 Medicare Payment Final Rules (CMS-1614-F)

Warehouse Application Corporate Information. Structure. State Lender/Broker Licenses. Agency Approvals

Who s Above the Social Security Payroll Tax Cap? BY NICOLE WOO, JANELLE JONES, AND JOHN SCHMITT*

Fiduciary Tax Returns

Contents of the Application Package. Additional Documents to Provide INSTRUCTIONS FOR SUBMISSION. Silvergate Bank Correspondent Services Group

State of the Automotive Finance Market

SPECIAL REPORT INCOME RECOGNITION. STATE TAX IMPACT. Generally, states use federal gross income,

CARS.COM. First Quarter 2018 Earnings May 9, 2018

EXHIBIT "A" Requirements for Cardholder Agreement. Electronic Funds Transfers Policy Your Rights and Responsibilities

Sub Plan number. area code

INTEREST RATES - January 16, 2018 to February 15, 2018

Systematic Distribution Form

Obamacare in Pictures

Transcription:

Wilbur Curtis Co., Inc. 6913 Acco Street Montebello CA, 90640 Phone# (323) 837-2300 Fax # (323) 837-2408 CREDIT APPLICATION Name of Business: DBA (If Applicable): Billing Address: City: State: Zip Code: Phone # :( ) Fax # ( ) General Email: Corporation Partnership Proprietorship Division/Subsidiary of: Federal ID # Purchasing for resale? Yes No Type of business: Roaster/Manufacturer Foodservice Dealer Convenience Store C-Store Distributor Please attach all Resale or Exemption Certificates including the Multijurisdiction See page 4 for a blank Multijurisdictional form OCS/Vend Broadline Distributor Service Agent QSR (Quick Service Restaurant) Terms requested: Credit Card Net 30 PRINCIPAL OWNERS/OFFICERS Name: Title: Home Address: City: State: Zip Code: Name: Title: Home Address: City: State: Zip Code: For Credit Card transactions, invoices will be printed and mailed. Term Invoices are processed electronically. Please choose your preference and enter the information. Fax #: ( ) - Email: E Commerce Export Wholesaler Restaurant/Foodservice Specialty Coffee Coffee House Grocery Chain 1

TRADE REFERENCES Please provide a minimum of three trade references and Bank information. 1. Company: Phone#:( ) - Fax#:( ) - Address: City: State: Email: Account# 2. Company: Phone#:( ) - Fax#:( ) - Address: City: State: Email: Account# 3. Company: Phone#:( ) - Fax#:( ) - Address: City: State: Email: Account# 4. Name of Bank: Phone Number: ( ) - Account Number: Fax Number: ( ) - If the total selling price is not paid when due, buyer shall pay late charges equal to the highest lawful contract rate of interest not to exceed 1.5% per month (18% per annum) computed from the due date on the unpaid balance of the total selling price. Buyer agrees to pay collection costs incurred to the account balance, including reasonable attorney fee. The undersigned, as an inducement to grant credit, warrants that the information submitted is true and correct. Name: Title: Name: Title: PERSONAL GUARANTEE In consideration of credit being extended by the Wilbur Curtis Co., Inc. to the above named buyer for merchandise to be purchased whether buyer is an individual or individuals, a proprietorship, a partnership, a corporation, or other entity, the undersigned guarantor or guarantors each hereby contact and guarantee to Wilbur Curtis Co., Inc. the faithful payment, when due, of all accounts of said buyer for purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guaranty, notice of extension of credit to buyer, presentment, and demand for payment on buyer or with respect to any security held by Wilbur Curtis Co., Inc. extension of time of payment to buyer, acceptance of partial payment or partial compromise, all other this guaranty, Any revocation of this guaranty shall be writing and delivered to Wilbur Curtis Co., Inc, 6913 Acco St. Montebello, Ca. 90640 Name: (Signature) Name: (Signature) 2

AUTHORIZATION FOR RELEASE OF CREDIT INFORMATION I hereby authorize to release credit information (Bank Name) on: To: Wilbur Curtis Co., Inc. Please indicate the active account on which you wish credit information to be released. Checking Account # Checking Account # Saving Account # Saving Account # Commercial or installment loan: # under name of # under name of # under name of I wish this authorization to extend to: The Wilbur Curtis Company. Signature: Date: Company: 3

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION The below-listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax, subject to the notes on pages 2 4. The issuer and the recipient have the responsibility to determine the proper use of this certificate under applicable laws in each state, as these may change from time to time. Issued to Seller: Wilbur Curtis Co., Inc Address: 6913 Acco St. Montebello Ca, 90640 I certify that: Name of Firm (Buyer): Address: is engaged as a registered Wholesaler Retailer Manufacturer Seller (California) Lessor (see notes on pages 2 4) Other (Specify) _ and is registered with the below-listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, or ingredients or components of a new product or service 1 to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) selling (California) the following: Description of Business: General description of tangible property or taxable services to be purchased from the Seller: State State Registration, Seller s Permit, or ID Number of Purchaser State AL 1 MO 16 AR NE 17 AZ 2 NV CA 3 NJ CO 4 NM 4,18 CT 5 NC 19 DC 6 ND FL 7 OH 20 GA 8 OK 21 HI 4,9 PA 22 ID RI 23 IL 4,10 SC IA SD 24 KS TN KY 11 TX 25 UT VT MI 14 WA 26 MN 15 WI 27 ME 12 MD 13 State Registration, Seller s Permit, or ID Number of Purchaser I further certify that if any property or service so purchased tax free is used or consumed as to make it subject to a Sales or Use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the Seller for added tax billing. This certificate shall be a part of each order that we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by the e city or state. Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter. Authorized Signature: (Owner, Partner, or Corporate Officer) Title: Date:

MINIMUM ADVERTISED PRICING POLICY Effective October 1, 2014, Curtis has established a Minimum Advertised Price (MAP) on all Curtis products. The policy applies only to the U.S. and Canadian Retailers. The MAP policy shall work under the following guidelines: 1. The MAP of all Curtis products will not be lower than the current net price (List price -40%). Pricing and specifications are subject to change without notice. 2. MAP only applies to new, current Curtis product. If the product is clearly labeled as used, refurbished, or outdated, MAP does not apply. 3. The MAP policy applies to all advertisements of Curtis products in any and all media, including, without limitation, web sites, shopping carts, check out pages, site-wide sales, twitter, Facebook, posters, coupons, special codes, e- mails, newsletters, EBay, Amazon, mailers, brochures, mail order catalogs, radio, and television. 4. The inclusion in advertising of free or discounted products with a product covered by our MAP policy would be contrary to the policy if it has the effect of discounting the advertised price of the covered product below the MAP. Inclusion of free freight, free coffee beans, or other free items is permissible within the policy. Bundling a product covered by our MAP policy with other products to arrive at a discounted package price is allowed ONLY if the price of the Curtis product is not offered below MAP. 5. MAP applies only to advertised prices and does not apply to the price at which the products are actually sold or offered for sale to an individual consumer within the Retailers physical location or over the telephone. Curtis Retailers remain free to sell these products at any price they select. 6. MAP does not establish Maximum advertised prices. All Retailers may offer Curtis products at any price in excess of the MAP established for such products. 7. Curtis MAP policy does not in any way limit the ability of Retailers to advertise that they have the lowest prices or they we will meet or beat any competitor s price,, as long as the price advertised or listed for the products is not less than MAP. Advertising to a consumer to call or email for a better price or email for a coupon constitutes an impermissible use of MAP policy. 8. From time to time Curtis may discontinue models or engage in promotions with respect to certain products. In such events, Curtis reserves the right to modify or suspend the MAP with respect to all or certain products at its sole discretion upon 3 days advance written notice to the Retailer, provided that such changes shall apply equally to all Curtis Retailers. 9. If a Curtis product is advertised below MAP price, please email the information to info@wilburcurtis.com lowering advertised price to meet non-conforming prices is impermissible and a violation of this policy. 10. The terms of this MAP policy are confidential and should not be disclosed to other parties. This MAP has been established by Curtis to help ensure the legacy of Curtis as a top producer of high performance, high quality equipment and accessories, and to protect the reputation of its name and products. The MAP policy is also designed to ensure that quality Retailers have an incentive to sell and support Curtis Products. Please acknowledge that you have read and accept Curtis Minimum Advertised Pricing Policy with your signature and date below. Name Title Signature Date

Product Warranty The Wilbur Curtis Company certifies that its products are free from defects in material and workmanship under normal use. Effective 4-1-2003, the following limited warranties and conditions apply: 3 Years, Parts and Labor, from Original Date of Purchase on digital control boards. 2 Years, Parts, from Original Date of Purchase on all other electrical components, fittings and tubing. 1 Year, Labor, from Original Date of Purchase on all electrical components, fittings and tubing. Additionally, the Wilbur Curtis Company warrants it s Grinding Burrs for Forty (40) months from date of purchase or 40,000 pounds of coffee, whichever comes first. Stainless Steel components are warranted for two (2) years from date of purchase against leaking or pitting and replacement parts are warranted for ninety (90) days from date of purchase or for the remainder of the limited warranty period of the equipment in which the component is installed. All in-warranty service calls must have prior authorization. For Authorization, call the Technical Support Department at 1-800- 995-0417. Additional conditions may apply. Go to www.wilburcurtis.com to view the full product warranty information. All returnedequipment must be re-packaged properly in the original carton and received by Curtis within 45 days following the issuance of an RMA. CONDITIONS & EXCEPTIONS The warranty covers original equipment at time of purchase only. The Wilbur Curtis Company, Inc., assumes no responsibility for substitute replacement parts installed on Curtis equipment that have not been purchased from the Wilbur Curtis Company, Inc. The Wilbur Curtis Company will not accept any responsibility if the following conditions are not met. The warranty does not cover and is void under the following circumstances: 1) Improper operation of equipment: The equipment must be used for its designed and intended purpose and function. 2) Improper installation of equipment: This equipment must be installed by a professional technician and must comply with all local electrical, mechanical and plumbing codes. 3) Improper voltage: Equipment must be installed at the voltage stated on the serial plate supplied with this equipment. 4) Improper water supply: This includes, but is not limited to, excessive or low water pressure, and inadequate or fluctuating water flow rate. 5) Adjustments and cleanings: The resetting of safety thermostats and circuit breakers, programming and temperature adjustments are the responsibility of the equipment owner. The owner is responsible for proper cleaning and regular maintenance of this equipment. 6) Damaged in transit: Equipment damaged in transit is the responsibility of the freight company and a claim should be made with the carrier. 7) Abuse or neglect (including failure to periodically clean or remove lime accumulations): Manufacturer is not responsible for variation in equipment operation due to excessive lime or local water conditions. The equipment must be maintained according to the manufacturer s recommendations. 8) Replacement of items subject to normal use and wear: This shall include, but is not limited to, light bulbs, shear disks, 0 rings, gaskets, silicone tube, canister assemblies, whipper chambers and plates, mixing bowls, agitation assemblies and whipper propellers. 9) Repairs and/or Replacements are subject to Curtis decision that the workmanship or parts were faulty and the defects appeared up under normal use. All labor shall be performed during regular working hours. Overtime charges are the responsibility of the equipment owner. Charges incurred by delays, waiting time, or operating restrictions that hinder the service technician s ability to perform service is the responsibility of the owner of the equipment. This includes institutional and correctional facilities. The Wilbur Curtis Company will allow up to 100 miles, round trip, per in-warranty service call. 10) RETURN MERCHANDISE AUTHORIZATION: All claims under this warranty must be submitted to the Wilbur Curtis Company Technical Support Department prior to performing any repair work or the return of this equipment to the factory. All returned equipment must be re-packaged properly in the original carton and received by Curtis within 45 days following the issuance of an RMA. No units will be accepted if they are damaged in transit due to improper packaging. NO UNITS OR PARTS WILL BE ACCEPTED WITHOUT A RETURN MERCHANDISE AUTHORIZATION (RMA). RMA NUMBER MUST BE MARKED ON THE CARTON OR SHIPPING LABEL. All in-warranty service calls must be performed by an authorized service agent. Call the Wilbur Curtis Technical Support Department to find an agent near you. WILBUR CURTIS COMPANY, INC. 6913 Acco Street, Montebello, CA 90640 Technical Support (800) 995-0417 Customer Service (800) 421-6150 Web Address: www.wilburcurtis.com Fax (323)837-2405 Technical Support E-mail: techservice@wilburcurtis.com