WPC PݘrRЕRЎL!b0JqݡrF]Q5j-:v&*8':.RNͤZ=1nɎXhf|^<[-xRsG't@7L_+Pc^5-IfsF<7 y1U: %#U@ 72 727U@iw 1u"*n:N 0w 4T h mj ^ 1u <6X9`("Courier 10cpiXHP-4 Default,,,,0   * `(CG TimesScalable i)0i)) `(CG TimesScalable7#137=CIQYag1.a.i.(1)(a)(i)1)a) 3|7<6X9`("Courier 10cpiXx6X@8;X@* `(CG TimesScalableXXw P7XP) `(CG TimesScalablec P7P+_ 0CG TimesBoldScalableXXz_ p^7X) `(CG TimesScalablebleO P7P) `(CG TimesScalablebleY P7P) `(CG TimesScalableble&&m P7&P(O p$C 0 e##0C  pj0+00XMU wo0L 3#37=CIQYag1.a.i.(1)(a)(i)1)a)  p! 0(#330   _ (#1730XXh j@WXE{XXX ʰXXE{ABCCOMPANY#XE{X ʰ#Ԉ  @QAPPLICATIONFORCREDIT   @  XE{XXXE{XXE{BILLTO:    `     h   0  SHIPTO:  %% BUSINESSNAME:__________________________________________0  BUSINESSNAME:________________________________________d%% TRADENAME:0  ____________________________________________0%%CONTACTNAME:_______________________________________%% ADDRESS:򀀀0  ADDRESS:򀀀, L %% CITY򀀀STATE:򀀀ZIP:򀀀0  CITY:򀀀STATE:򀀀ZIP:򀀀     %% TELEPHONENO.:򀀀0  TELEPHONENO.:򀀀     %% FAXNO.:򀀀0  FAXNO.:򀀀##X x %% @Q 8 MANAGEMENTINFORMATION     8 BUSINESSSTRUCTURE: 󀀀򀀀PROPRIETORSHIP򀀀PARTNERSHIP򀀀CORPORATION򀀀LIMITEDLIABILITYCOMPANY 0  IfbusinessstructureisaPartnership,Corporation,orLimitedLiabilityCompany,givethelegalnameandFederalI.D.Number:  Ll 򀀀   BUILDINGFACILITIES: 򀀀OWNED򀀀LEASED򀀀RENTED p    MORTGAGEHOLDER/LANDLORDNAMEANDADDRESS:򀀀    EQUIPMENT: 󀀀򀀀OWNED򀀀LEASED򀀀RENTED <\ MORTGAGEHOLDER/LESSORNAMEANDADDRESS:򀀀 x LENGTHOFTIMEINBUSINESS:򀀀 ! IFUNDER2YEARS: # PREVIOUSBUSINESSANDADDRESS:򀀀 ,L% LENGTHOFTIMEINPREVIOUSBUSINESS:򀀀 h' 8 >@1  X8CompletethefollowinginformationforallCorporateofficers,Partners,orProprietors  ) 򀀀 "+ FULLNAMEANDTITLE `     h SOCIALSECURITY# p      x DRIVERSLICENSE# , 򀀀  . HOMEADDRESS   `    CITY h     STATE p ZIP    TELEPHONENO. z!/ 򀀀 " 1 FULLNAMEANDTITLE `     h SOCIALSECURITY# p      x DRIVERSLICENSE# T#t!2 򀀀 $"4 HOMEADDRESS   `    CITY h     STATE p ZIP    TELEPHONENO. .%N#5 򀀀 j&$7 FULLNAMEANDTITLE `     h SOCIALSECURITY# p      x DRIVERSLICENSE# '(%8 @\򀀀 D(d&: HOMEADDRESS   `    CITY h     STATE p ZIP    TELEPHONENO. ('; ̀ *>(= ACCOUNTSPAYABLECONTACTNAME   h      p      x TELEPHONENO.## *(> @yyT8  BANKINFORMATION Z+z)?  # 8#򀀀 ,*A BANKNAME   `    ADDRESS    CITY p      x STATE ZIP `-+B ̀ .,D BANKOFFICER   `    CHECKINGACCOUNTNO.  ## 8   :/Z-E j h   @TTRADEREFERENCES  # 8T # 򀀀 Hh NAME     `    ADDRESS     p     TELEPHONENO.  򀀀 "B NAME     `    ADDRESS     p     TELEPHONENO.  򀀀  NAME     `    ADDRESS     p     TELEPHONENO.    @P 8 TERMSOFCREDITAGREEMENT# 87&#    8 TheundersignedrepresentsthatheorsheisauthorizedtoexecutethisapplicationonbehalfoftheApplicantandthatallofthe > ^  informationcontainedinthisApplicationistrue.TheundersignedauthorizesABC[Inc.]( ABC)anditsagentstomakecreditchecks  (  withthereferencesnotedabove,andobtainwhateverothercreditinformationisdeemednecessarytoextendcredithereunderand   authorizesanycreditreferenceandanycreditbureauorreportingservicetoreleaseinformationtoABC.TheEqualCreditOpportunity   Actprohibitsthediscriminationagainstcreditapplicantsonthebasisofrace,color,religion,nationalorigin,sex,maritalstatus,orage. f  Intheeventthatyouaredeniedcredit,ABCwillprovideyouwithawrittenexplanationuponreceiptofawrittenrequestfromthe 0P  undersignedrequestingsuchexplanation.   TheApplicantunderstandsthatallpurchasesaresubjecttothefollowingtermsandconditions:   2 #1  1  .3  0  Allpaymentsaredueandpayablewithinten(10)daysofeachstatement.Ifanyaccountisnotpaidwhendue,ABCshallbe  entitledtochargeinterest(includingpostjudgmentinterest)ontheunpaidbalanceattheannualrateof18%.Xx%% 2 #1  2  .3  0  Intheeventthattheaccountbecomesdelinquent,theApplicantagreestopayforallcostsofcollection,includingallpreand "B postjudgmentattorneysfeesandexpenses.Prejudgmentattorneysfeesmaybeliquidatedatthirtythreepercent(33%)of   theoutstandingbalancedueonaccount,attheelectionofABC.%% 2 #1  3  .3  0  AnydisputebetweenthepartiesshallbelitigatedintheappropriatecourtinOrangeCounty,Floridaorsuchothercountyas  ABCshall,initsowndiscretion,determineismostappropriate.TheApplicantwaivesanyrighttocontestvenue.Jj%% 2 #1  4  .3  0  ABCshallhaveapurchasemoneysecurityinterestinanygoodsdeliveredtotheextentnecessarytorecoverallmoneysowed 4 ABCbytheApplicant.Likewise,titletosaidgoodsshallremainwithABCandABCshallbeallowedtoobtainaprejudgment  writofreplevinintheeventpaymentisnotmadeinaccordancewiththeestablishedtermsofcredit.TheApplicantauthorizes  ABCtorecordaFormUCC1withtheFloridaSecretaryofStatetoperfectitssecurityinterest.r%% 8  82 #1  5  .3  0  ThesignerhereofindividuallyandnotanyrepresentativecapacityshallberesponsibleforallchecksreturnedtoABCfrom <\  thepayorbankforanyreasonwhatsoever.&!%% 2 #1  6  .3  0  TheApplicantisresponsibleforallgoodsandservicesdeliveredtotheaddresslistedonthereversesideofthisapplication " orsuchotheraddressesasisdirectedbytheApplicantsemployeesoragentsuntiltheApplicantnotifiesABC,viacertified # mail,thatitnolongerwishestoberesponsiblefordeliveriestosaidaddresses.d$%% #8  8V2#2 #1  7  .3  0  AllgoodsdeliveredbyABCinrelianceonthiscreditapplicationshallbedeemedauthorizedbythepurchaserhereofif .N% deliveredtotheaddressonthereversesideofthisapplication.TheApplicantwaivesanyrighttoclaimimproperdeliveryif & thegoodsdeliveredherebyarenotrejectedupondelivery.AnyclaimfordamagedgoodsmustbesubmittedtoABC,in ' writing,withinfivedaysofdelivery.(%% DATE:򀀀,20򀀀  !@* 򀀀 h 0     p 򀀀" ,%% Witness ` 0 0 % %0h%%0h%h%0%%0p%%Signature  ~#!-p%p% 򀀀0 h      p H$h".h%h% PrintedName   ` 0 0 % %0h%%0h%h%0%%0p%%PrintedName%2#/p%p% @XGUARANTY &$1 TheundersignedpersonallyguaranteesallpaymentsdueABCbytheApplicantincludingallcostsofcollectionassetforthaboveand :(Z&3 agreestowaiveanyobjectiontovenueandlitigateanydisputeintheappropriatecourtinOrangeCounty,Florida,orsuchotherplace )$'4 asABCmaydetermineisinitsbestinterest.TheundersignedauthorizesABCanditsagentstoobtainwhatevercreditinformationis )'5 deemednecessarytoextendcredithereunderandauthorizesanycreditreferenceandanycreditbureauorreportingservicetorelease *(6 creditreportsand/orotherinformationtoABC.TheundersignedconsentstogarnishmentofwagesifABCobtainsajudgementagainst b+)7 theundersignedandagreestonotifyABC,viacertifiedmail,ofanychangeofownershipoftheApplicant. ,,L*8 DATE:򀀀,20򀀀 h  -+: ̀ h 0  0%% p 򀀀T/t-<%% Witness     `     h   0  0p%%Signature0>.=p%p% 򀀀 h 0  0%%0p%%򀀀0/>p%p% PrintedName   `     h   0  0p%%PrintedName