Credit Application

Credit Application Form

"*" indicates required fields

1Onboarding Application

2Personal Guarantee

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This field is for validation purposes and should be left unchanged.

Salesman*

Program*

Business Information

Complete Legal Company Name*

Company Type*

Corporation

Proprietorship

Partnership L.L.C.

Address*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Cell Phone*

Fax*

Nature of Business*

Other Business Names Used*

FEDERAL I.D. #*

Year Started*

D & B #*

Ship to Location

Address*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Fax*

Officers/Owners/Partners

Name #1*

Title*

% Owned*

Spouse*

% Owned*

Residence*

Home Phone*

SSN*

Name #2*

Title*

% Owned*

Spouse*

% Owned*

Residence*

Home Phone*

SSN*

Has any owner/officer filed for bankruptcy in the last 10 years?*

Yes

Bank References

Reference Information*

Bank Name

Phone Number

Acct. # (List all)

Contact

Acct. Type

Trade References

Reference Information*

Company name

Phone Number

Acct. #

Contact

Customer Credit Release

THE UNDERSIGNED AUTHORIZES ALL PARTIES CONTACTED TO RELEASE CREDIT AND FINANCIAL INFORMATION

Signature*

Date*

Financial Statement

Please attach copy of your prepared financial statement*

Max. file size: 2 GB.

Signature

*THE PERSON SIGNING THIS APPLICATION DOES HEREBY WARRANT THAT THEY ARE AUTHORIZED FOR THAT COMPANY FIRST MENTIONED ABOVE.

Signature*

Date*

*PLEASE SUBMIT TAX EXEMPTION CERTIFICATION IF APPLICABLE.

File

Max. file size: 2 GB.

Personal Guarantee

The undersigned hereby makes this application for credit to (hereinafter referred to as “Creditor”), and, in making this application, the undersigned agrees that all amounts payable on or before the due date as shown on each invoice will be paid, and, if not paid on or before said date, are then delinquent.

Should the Creditor grant credit, all decisions with respect to the extension and continuation of said credit shall be at the sole discretion of the Creditor. The Creditor may terminate any credit availability at its sole discretion.

It is furthermore understood that the Creditor may impose either finance or delinquency charges at the lower of either one and one half percent (1.5 %) or the highest applicable rate allowed by law, on any invoice that has become due or delinquent. Additionally, the undersigned shall be responsible for any and all collection costs along with necessary attorney fees or court costs incurred in the collection process. Any returned check (Non-Sufficient Funds) will automatically suspend any credit terms and convert the account to cash terms. $30 NSF fees will be charged to the account.

The undersigned, individually and unconditionally, personally guarantees payment to Four Star Meat Co. This includes any and all uncollected monies and/or merchandise sold to the above applicant, including, but not limited to, any necessary attorney fees or court costs incurred in the collection process. The undersigned hereby understands and agrees that credit is granted to applicant in consideration of their personal guaranty as stated above.

I / We hereby certify that all information contained in this application, consisting of three (3) pages, is true and correct, to the best of my knowledge. I / We have fully read and do understand the terms of credit and aforementioned regulations and restrictions and do agree thereunto.

I / We also understand that credit may be granted or denied at the sole discretion of the Creditor.

Furthermore, I / We understand that in compliance with state law, any organization that is entitled to a sales tax exemption must provide a valid certificate to its vendors. As a further condition of consideration for credit, a copy of this certificate must be provided to Four Star Meat Co.

Signed*

Printed Name*

Company Name*

Position or Title*

Witness*

Date*

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