Credit Application Brochure

1005H 1 of 2Have You Done Business with Other Hajoca Locations? Yes No If Yes, Please List:Has a Tax Lien or Civil Suit Been Filed Against Applicant or Any of Its Principals, Partners,Officers or Directors Within the Past Six Years? Yes NoHas Applicant or Any of Its Owners, Principals, Partners, Officers or Directors Ever Filed a Voluntary Petition in Bankruptcy orBeen Adjudged Bankrupt? Yes NoIs Applicant or Any of Its Owners, Principals, Partners, Officers or Directors a Guarantor or Endorser ofDebts or Notes Owed by Other? Yes NoAre There Any Past Due Taxes Owed by Applicant? Yes NoCU46906WorkflowOnePLEASE ATTACH A COPY OF APPLICANT’S MOST RECENT FINANCIAL STATEMENTSUPPLIER REFERENCES:Name Address Phone No. Account No. Fax No.BANK OR SAVINGS AND LOAN ASSOCIATION:Name Branch Address Account No. Phone No.HAJOCA CORPORATIONApplicant: Business or Corporate Name Application DateBusiness Street Address Billing AddressCity State Zip Code City State Zip CodeBusiness Telephone No.Business Email Address Contractor’s License No.Applicant is Engaged in the Business ofSales Tax Exempt? Yes* No *If Yes, Please Attach a Copy of Valid Exemption Certificate Federal Tax ID #Type of Business Proprietorship Partnership Corporation LLCBusiness Building is Owned Rented/Leased Invoice Delivery Options:Monthly Statement Required? Yes NoMail Fax E-mailAmount of Monthly Credit DesiredBusiness Fax No. Year Business Was EstablishedAPPLICATION FOR COMMERCIAL CREDITMAIL THIS APPLICATION TO:GENERAL TERMS: This Credit Application (“Application”) is between Hajoca Corporation (“Hajoca”) extending credit and the Applicant named on page one hereof (“Applicant”). Applicant acknowledges that Applicant is furnishing the information requested herein, including Applicant’s financial statement, for the purpose of procuring credit from time to time with Hajoca. Applicant represents and warrants that said information is true and correct and an accurate and complete statement of the Applicant’s financial condition. Applicant authorizes Hajoca to obtain credit and financial information concerning Applicant at any time and from any source. In addition, Applicant authorizes Hajoca to contact the credit references listed herein and hereby grants permission to those references to release information about Applicant’s credit history.ENTIRE AGREEMENT: This Application, along with the terms and conditions set forth on Hajoca’s quotations, invoices and delivery tickets (incorporated herein by this reference), constitute the entire agreement between the parties and supersede any terms and conditions set forth on any purchase order submitted to Hajoca by Applicant. Applicant hereby agrees to be bound by such terms and conditions. Applicant hereby agrees that the terms and conditions of any purchase order, other than the identity of and quantity of the material being purchased, are null and void and of no legal effect.TERMS OF PAYMENT: In consideration of Hajoca extending credit to Applicant, Applicant agrees to pay for all material delivered to or at Applicant’s request on or before the 25th day of the month following the month in which the material was delivered unless otherwise provided in writing. All accounts are due and payable at the remittance address shown on the Hajoca invoice. Unless accompanied by specific remittance instructions, Applicant agrees that Hajoca is authorized to apply all unspecified payments at Hajoca’s discretion. Applicant acknowledges and agrees that it will be charged one percent (1%) per month as a service charge plus up to the maximum interest allowed by law on any unpaid balance that has not been paid by the 25th day of the month following the month in which the material was delivered. A portion of the month shall be treated as a full month for the purpose of calculating service charge and interest. Applicant agrees to promptly pay said service charge and interest. Waiver of any service charge and/or SPACES BELOW ARE FOR HAJOCA CORPORATION USE ONLYCredit ApprovalWorkflowOneBy signing here the undersigned warrants the above Application for Commercial Credit has been carefully read and the Guarantor understandsthe same.OWNERS (IF APPLICANT IS A SOLE PROPRIETORSHIP OR PARTNERSHIP)OFFICERS (IF A CORPORATION) MEMBERS (IF LLC)Social Security No. Date GuarantorSocial Security No. Date GuarantorSocial Security No.Are Principals Involved with Affiliated Companies? Yes No If Yes, Please List:Name Home Address Home Phone No.Social Security No. Name Home Address Home Phone No.Social Security No. Name Home Address Home Phone No.By signing here, the undersigned warrants the above Application for Commercial Credit has been carefully read and the Applicant understands the same.Name of Business Applicant Signature of Authorized Individual Title Please Print Name of Authorized Individual2 of 2PC Manager ApprovalPC No.interest for any one month shall not be deemed a waiver of future charges. Applicant further agrees that with regard to such charges, Applicant and Hajoca are parties to a written contract. Applicant agrees to pay a reasonable fee, not to exceed the maximum allowed by state law, for any checks which are returned for non-sufficient funds or are dishonored for any reason.DISPUTE RESOLUTION: Any dispute arising out of this Application shall be resolved by litigation or binding arbitration at Hajoca’s option and at a venue selected by Hajoca. In the event Hajoca elects binding arbitration, a single arbitrator shall preside over the arbitration and, if the parties cannot mutually agree upon a single arbitrator, then one shall be selected by the arbitration service selected by Hajoca. In addition to paying all sums due hereunder, Applicant agrees to reimburse Hajoca for all costs of collection including, without limitation, reasonable attorney’s fees, collection agency fees, expenses and costs including those associated with the filing of foreclosure actions on liens filed due to Applicant’s nonpayment.TRUST: Applicant agrees that all funds owed to or received by Applicant from any source, resulting from the material supplied by Hajoca, shall be held in trust of the benefit of Hajoca. Applicant agrees to promptly pay to Hajoca all such funds. Upon request, Applicant shall irrevocably assign to Hajoca its accounts receivable from anyone to the extent that such receivable results from material supplied by Hajoca.CREDIT LIMIT: Upon approval of this Application, Applicant may receive a credit limit which may or may not be in excess of the credit limit requested by Applicant. Should the credit limit be exceeded, Applicant acknowledges sole liability for the full amount due and owing, including all amounts in excess of the credit limit, and further acknowledges that Hajoca shall have no liability arising out of a credit limit being exceeded.ASSIGNMENT: Applicant agrees that it will not factor, sell or assign the debt related to the credit granted by Hajoca under the terms of this Application.CERTIFICATION: The person(s) executing this Application hereby represents that he/she has authority to execute this Application on behalf of Applicant and acknowledges that, if no such authority exists, then he/she, by executing this document, shall become personally liable under its terms.COA NOTICEE : H e UA IT O TU IT CT e OHI ITS C IT A TO S O ISC I I ATI A AI ST C IT A ICA TS O TH ASIS O ACT e q l Cred Opp r n y A ( COA) pr b red gr n r fr m d r m n ng g n red ppl n n e b f r e, CO O I IO ATIO A O I I S A ITA STATUS O A H f A A O ISSIO A I IST S CO IA C WITH TH el r, rel g n, n n l r g n, ex, m r l r ge. T e eder l Tr de C mm n dm n er mpl n e e COA.CRA NOTICEF : H U SI H CO S T S TO A OCA S US O A CO SU C IT O T O ACH O TH U SI I I I UA S I O TO T e nder gned ereby n en ( ) H j ’ e f n mer red rep r n e f e nder gned nd v d l n rder U TH A UAT TH C IT WO THI SS O TH A ICA T I CO CTIO WITH TH T SIO O USI SS C IT AS CO T AT THIS A ICATIO Hf r er ev l e e red r ne f e ppl n n nne n e ex en n f b ne red n empl ed by ppl n. T e U SI H AUTHO I S A OCA TO UTI I A CO SU C IT O T O TH U SI O TI TO TI I CO CTIO WITH TH T SIO Onder gned ereby r ze( ) H j l ze n mer red rep r n e nder gned fr m me me n nne n e ex en n r CO TI UATIO O TH USI SS C IT S T THIS C IT A ICATIO H U SI AS A I I I UA S H AC OW CO S T TO THn n n f e b ne red repre en ed by red ppl n. T e nder gned ( n) nd v d l( ) ereby kn ledge n en e US O SUCH C IT O T CO SIST T WITH TH AI C IT O TI ACTe f red rep r n en e f r red rep r ng .PERSONAL GUARANTYf g gor value received and to induce Hajoca Corporation (“Hajoca”) to extend credit to Applicant, the undersigned uarantor (even if more than one uarantor) hereby jointly and severally warrants and unconditionally personally guarantees to Hajoca the full and prompt payment when due (including any accelerated or extended maturity) of all indebtedness, obligations and liabilities of Applicant to Hajoca, as described in this Application for Commercial Credit, now existing or hereafter created or arising, even if such indebtedness is in excess of the amount applied for by Applicant or the established credit line. If Hajoca retains or employs attorneys or other agencies in order to secure payment of any sums due g g gfrom Applicant or uarantor, including the filing of foreclosure actions on liens filed due to uarantor’s failure to make payment, uarantor agrees to pay attorney and/or collection gfees, costs and other related expenses in addition to all sums due not otherwise paid by Applicant. uarantor waives all notices and demands of any kind, and hereby consents to any agreement or arrangement with Applicant, including without limitation agreements and arrangements for payment, extension, subordination, composition, arrangement, gdischarge or release of the whole or any part of the indebtedness, and the same shall in no way impair uarantor’s liability hereunder. Hajoca may release or relinquish any security now or hereafter held for any indebtedness hereby guaranteed or any guarantees or sureties, without the same discharging, releasing or in any manner affecting the liability g gof uarantor hereunder. This uaranty shall be enforceable before or after proceeding against Applicant or simultaneously therewith, and without resort to any security. The g gincorporation, merger, reorganization or sale of Applicant’s business shall not operate as termination of this uaranty, and the uaranty shall continue as to credit extended to such gother entity. This uaranty shall continue in force until written notice of termination is sent by registered or certified mail, return receipt requested, is received by Hajoca, Attention: m gCredit anager. This notice is to specify the date on which the uaranty is to be terminated, said date to be not less than seven (7) days after the described notice is received and g gshall not affect transactions which Applicant entered into prior to the termination date. uarantor authorizes Hajoca to obtain credit and financial information concerning uarantor gat any time and from any source. uarantor acknowledges that he/she is also bound by the terms set out in this Application relating to the obligations of Applicant. ECOA NOTICE: e eq l red pp r n y e pr b red gr n r fr m d r m n ng g n red ppl n g r n r n e TH UA C IT O O TU IT ACT ( COA) OHI ITS C IT A TO S O ISC I I ATI A AI ST C IT A ICA T’S UA A TO O TH b f r e l r rel g n n n l r g n ex m r l r ge e feder l r de mm n dm n er mpl n e e eASIS O AC , CO O , I IO , ATIO A O I I , S , A ITA STATUS, O A . TH A T A CO ISSIO A I IST S CO IA C WITH TH COA.FCRA NOTICE: e nder gned ereby n en j e f n mer red rep r n e f e nder gned nd v d l n rder TH U SI H CO S T(S) TO HA OCA’S US O A CO SU C IT O T O ACH O TH U SI I I I UA S I O TO f r er ev l e e red r ne f e ppl n g r n r n nne n e ex en n f b ne red n empl ed byU TH A UAT TH C IT WO THI SS O TH A ICA T’S UA A TO I CO CTIO WITH TH T SIO O USI SS C IT AS CO T AT THIS ppl n e nder gned ereby r ze j l ze n mer red rep r n e nder gned fr m me me n nne nA ICATIO . TH U SI H AUTHO I (S) HA OCA TO UTI I A CO SU C IT O T O TH U SI O TI TO TI I CO CTIO e ex en n r n n n f e b ne red repre en ed by red ppl n e nder gned n nd v d l erebyWITH TH T SIO O CO TI UATIO O TH USI SS C IT S T THIS C IT A ICATIO . TH U SI AS (A ) I I I UA (S) H kn ledge n en e e f red rep r n en e f r red rep r ngAC OW CO S T TO TH US O SUCH C IT O T CO SIST T WITH TH AI C IT O TI ACT. MAIL THIS APPLICATION TO: Applicant Business or Corporate Name: Application Date: Business Street Address: Billing Address: Business Telephone No: Business Fax No: Year Business Was Established: Business Email Address: Contractors License No: Applicant is Engaged in the Business of: Amount of Monthly Credit Desired: Federal Tax ID: Name: Branch Address: Account No: Phone No: Have You Done Business with Other Hajoca Locations Yes No If Yes Please List: Name of Business Applicant: Title: Social Security No_5: Date_2: PC No: city 1: zip 1: state 1: city 2: state 2: zip 2: Month state yes: Month state no: NameRow1: Fax NoRow4: AddressRow1: Phone NoRow1: Account NoRow1: Fax NoRow1: NameRow2: AddressRow2: Phone NoRow2: Account NoRow2: Fax NoRow2: NameRow3: AddressRow3: Phone NoRow3: Account NoRow3: Fax NoRow3: NameRow4: AddressRow4: Phone NoRow4: Account NoRow4: bankrupt: no bankrupt: guarantor: no guarantor: Social Security No: Home Phone No_3: Name_2: Home Address: Home Phone No: Social Security No_2: Name_3: Home Address_2: Home Phone No_2: Social Security No_3: Name_4: Home Address_3: Are Principals Involved with Affiliated Companies Yes No If Yes Please List: Date: Social Security No_4: ST ex: not ST ex: LLC: Corp: Partner: Propriet: Bldg owned: Bldg rented: Mail: Fax: Email: Biz with other PCs: No biz with other PCs: Tax lien: No tax lien: past due RE tax: no past due RE tax: undefined_15: undefined_16: