Credit App Form

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Credit Application and Agreement for Hawkins Commercial Appliance 3000 S Wyandot St Englewood, CO 80110 

Phone 303-781-5548 Fax 303-783-3521

A. Applicant

(List all trade Names, DBA's; Divisions or Subsidiaries

B. BUSINESS INFORMATION





(If yes, enclose signed certificate or copy)

C. BANKING INFORMATION


I hereby authorize bank named above to release information requested for the purpose of obtaining and/or reviewing credit.


D. TRADE REFERENCES (Please fill out 3 references)

Name

Contact

Address

Phone and Fax #

The preceding information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize Hawkins Commercial Appliance, Inc. to investigate all references and customary credit information sources including consumer credit reporting repositories regarding my/our credit and financial responsibility for the purpose of obtaining credit and for periodic review for the purpose of maintaining the credit relationship.

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CREDIT POLICY: Statements are rendered as of the Net 30 C.O.D. restrictions may be placed on any past due account.


CREDIT TERMS: All invoices are due Net 30. a service charge of one and one half percent (1 1/2% per month), or (18% per annum) or the highest legal rate, whichever is less may be assessed on delinquent invoices.


VENUE: All amounts due for purchases from Hawkins Commercial Appliance Service, Inc.

are payable at 3000 S Wyandot St. Englewood, CO 80110. It is further agreed that this agreement is entered into in the state of Colorado.


CHANGE OF OWNERSHIP: I/We understand that we must notify Hawkins Commercial Appliance Service, Inc. in writing and by certified mail of any change in ownership, the name of the business or structure of the business under which credit is established.


In the event of default, and/ or cost of collection whether or not suit filed.


I/We certify that this request is for the extension of credit for business purposes only and not for the extension of credit for personal, family or household purposes.


APPLICANT'S SIGNATURE ATTEST FINANCIAL RESPONSIBILITY, ABILITY, AND WILLINGNESS TO PAY IN ACCORDANCE WITH ABOVE TERMS:


CONSENT TO OBTAIN CONSUMER CREDIT REPORT

The undersigned individual who is either a principal of the credit applicant or a sole proprietorship of the credit applicant, recognizing that his or her individual credit history may be a doctor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.


PERSONAL GUARANTEE

For Valuable consideration, the receipt of which is acknowledged, including but not limited to the extension of credit by Hawkins Commercial Appliance Service, Inc.  to

the undersigned, individually, jointly and severally, unconditionally guarantee(s) to Hawkins Commercial Appliance Service, Inc. the full and prompt payment by

of all obligations which Guarantor presently or hereafter may have to Hawkins Commercial Appliance, Inc. and payment when due of all sums presently or hereafter owning by Guarantor to Hawkins Commercial Appliance Service, Inc. Guarantor agrees to indemnify Hawkins Commercial Appliance Service, Inc. may incur as a result of any failure of Guarantor to perform including reasonable attorneys' fees and all cost and other expenses incurred in collecting or compromising any indebtedness of debtor guaranteed hereunder or in enforcing this guaranty against guarantor. This shall be a continuing Guaranty. Diligence, Demand, Protest or notice of any kind is waived. It shall remain in full force until guarantor delivers to Hawkins Commercial Appliance Service, Inc. written notice revoking it as to indebtedness incurred subsequent to such delivery. Such delivery. Such Delivery shall not affect any of guarantors obligations hereunder with respect to indebtedness heretofore incurred.


The undersigned personal guarantor, recognizing that his or her individual credit history may be a necessary factor in the evaluation of this personal guarantee, hereby consents to and authorizes the use of a consumer credit report on the undersigned, by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process. 

The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with law concerning this credit is the Federal Trade Commission, Division of Credit Practices, 6th and Pennsylvania Avenue, NW, Washington, D.C. 20580.

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