CREDIT APPLICATION Firm's Full Legal Name: __________________________________________________ Billing Address: ___________________________________ Phone: (___)__________ City: ____________________ State: _____ County:__________________ Zip:______ Shipping Address: ___________________________________ Phone: (___)_________ City: ___________________ State: ______ County: __________________ Zip: ______ A/P Contact Person: __________________________________ Fax: (___)__________ Are Purchase Orders Required? Yes ( ) No ( ) Are Statements Required? Yes ( ) No ( ) Do you currently, or have you ever had an account with AAA Locksmith.? Yes ( ) No ( ) Type of Business: ________________________________ Date Bus. Started: _________ Date of Present Ownership: ___________________ Date Incorporated:______________ Estimated Monthly Purchases: $_____________ Credit Limit Desired: $______________ BANK / TRADE REFERENCES: A MINIUM OF (3) THREE TRADE REFERENCE ARE REQUIRED Bank Name: _________________________ Bank Officer: ______________ Acct. #: _________________ Bank Address: _______________________________________________ Phone: (___)_______________ City: ______________________ State: _______ Zip: _________________ Fax: (___)________________ Bank Name: _________________________ Bank Officer: ______________ Acct. #: _________________ Bank Address: _______________________________________________ Phone: (___)_______________ City: ______________________ State: _______ Zip: _________________ Fax: (___)________________ Company Name: ______________________ Contact Person: ____________ Acct. #: _________________ Company Address: ____________________________________________ Phone: (___)_______________ City: _______________________ State: _______ Zip: _________________ Fax: (___)________________ Company Name: ______________________ Contact Person: ____________ Acct. #: _________________ Company Address: ____________________________________________ Phone: (___)_______________ City: _______________________ State: _______ Zip: _________________ Fax: (___)________________ Company Name: ______________________ Contact Person: ____________ Acct. #: _________________ Company Address: ____________________________________________ Phone: (___)_______________ City: _______________________ State: _______ Zip: _________________ Fax: (___)________________ NOTE: Please enclose a copy of your most recent financial statement if credit is to exceed $5,000.00 and/or business is less than two (2) years old CREDIT APPLICATION RETURNED MERCHANDISE POLICY A 15% return or restocking charge may be assessed on all items returned. Goods must be returned within 30 days of purchase in original, saleable condition and accompanied by a copy of the invoice. No returns will be accepted on special Non-stock Orders. SALES AND USE TAX EXEMPTION CERTIFICATION I, the undersigned Purchaser, hereby certify that we are sales tax exempt, and hold a valid State Sales Tax I.D. Number issued by the State of ________________________________________________. (Please attach copy) The Purchaser holds a valid Federal Tax I.D. Number ________________________________ (if applicable). _________________________________________ Please Sign Date CREDIT TERMS TOTAL INVOICE DUE WITHIN 30 DAYS; PAST DUE THEREAFTER A monthly finance charge, computed at a periodic rate of 1 1 Ú2% per month to correspond to an annual percentage rate (APR) of 18 % will be added to all past due accounts. The amount of credit we extend to a customer is subject to change or limitation at any time, either before or after delivery of any part thereof, of an order. Payment in advance may be required as a precedent to delivery. If a customerís account is in arrears, we shall have the right, in addition to all other legal remedies and without prejudice to any other of our rights, to defer further shipments until payment is received. Notwithstanding prior extensions of credit, prepayment may be required prior to any subsequent delivery of goods. All prices are based on manufacturerís published price list and are subject to change without prior notice. I/we authorize AAA Locksmith to investigate our credit history, bank and company references and any other information deemed necessary to extend credit. I/we agree to immediately notify AAA Locksmith of any change in ownership, address or form of said business. This agreement shall remain in force until written notice of revocation is received by AAA Locksmith I/we have read and understand .AAA Locksmith Credit Terms and its policy governing returned merchandise. I/we further agree to pay all finance charges (not to exceed 11/2% per month) on past due balances, if applicable. I/we also agree to pay all collection costs plus reasonable attorneyís fees in the event actions are commenced against me for nonpayment. In the event of checks being returned by the bank for insufficient funds, I/we agree to pay a $25.00 charge per each check returned. ____________________________________ By: ___________________________ ____________ Company (Exact Legal Name of Entity) Proprietor, Partner, or Officer/Title Date ____________________________________ ____________ Please Sign Date PERSONAL GUARANTY In consideration of AAA Locksmith extending credit to the above business (hereinafter referred to as the ìCompanyî), the undersigned, jointly and severally, personally guarantee(s) to AAA Locksmith, the payment of any obligation of the Company and agree to bind ourselves to pay on demand any sum which may become due to you, whenever the Company shall fail to pay the same. It is understood that the guaranty shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the Company. I/we hereby waive notice of default, nonpayment and notice thereof and consent to any modification or renewal of the credit agreement including reasonable attorneyís fees, court costs, and finance charges. This, the __________________ day of ______________________________, 20 ________. _____________________________ ________ _______________________________ ________ Guarantor Signature Date Guarantor Signature Date