Credit Application & Guaranty AgreementLegal Name of Company*Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Shipping Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Cell PhoneFAXPurchase Order RequiredYesNoPurchases TaxableYesNoIf no, Sales Tax Exemption NumberCheck OneCorporationPartnershipProprietorshipIf Incorporated:State in Which IncorporatedAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYears IncorporatedPrincipalPartnerPresident’s NameFederal I.D. NumberCompany Executive we may contact for financial informationTitleAccounts Payable ContactAuthorized BuyersPercentage of ResidentialPercentage of CommercialCredit ReferencesA Financial Statement if RequestedBank NameBank Officer NameAddress Street Address City State / Province / Region ZIP / Postal Code Phone NumberAccount NumberTrade SuppliersNameAddressPhone/FaxContact CREDIT TERMS & CONDITIONS Terms and Conditions of Payment: Terms are Net 30 Days. In the event it becomes necessary for Crown C Supply Company, Inc. to file suit to enforce payment of past due amounts, such suit will be brought in the appropriate Forum. Crown C Supply Company, Inc. shall be entitled to collection fees, reasonable attorney’s fees, court costs and interest as provided by applicable state laws. All purchases are deemed made and payment is due at the principal place of business of Crown C Supply Company, Inc. at St. Louis, Missouri. A service charge equal to the lesser of 2% per month or the maximum legal rate shall be charged 30 days from the date of invoice and a loss of “open account” status is automatic after an invoice is unpaid 60 days from billing date. Financial statements, credit information, information supplied by Buyer or by others on Buyer’s behalf, are part of this agreement. Any false or misleading information constitutes fraudulent misrepresentation and renders all debt due in full. The acceptance of any individual order and terms of payment on all sales and orders are subject to approval by the Credit Department of Crown C Supply Company, Inc. Buyers grant to and Crown C Supply Company, Inc. retains a security interest, pursuant to applicable Uniform Commercial Code in the materials and in all additions and accessions hereto and title to all said materials shall not pass to the Buyer until all sums invoiced are fully paid. Buyer assumes all risk of loss or damage to said materials. All parties that this document constitutes a security agreement. This security agreement covers all material which Buyer now and hereafter may acquire from Seller until the termination of the agreement in writing by either party. All sales are made pursuant to these conditions and all orders are received with the understanding that they are placed under these conditions. In consideration of credit being extended by Crown C Supply Company, Inc. the undersigned guarantees faithful payment of all obligations created hereunder. Credit applicant has read carefully and understands the terms and conditions of Agreement as set forth above. Credit applicant understands that writing constitutes an application for credit only until accepted as a binding agreement by an authorized agent for Crown C Supply Company, Inc. Crown C Supply Company, Inc. at its discretion, may request submission of financial statements periodically and buyers agree to provide same. Consideration of an increase or establishment of an open line of credit will be given upon the receipt of this completed and signed application. Our credit investigation will commence upon receipt of the submission of the credit application. If your purchases will be exempt from sales tax, please call us and request a Sales Tax Exemption Certificate. Please return to us via fax, 314-645-1279 or email to firstname.lastname@example.org Signature*Use your mouse as a pen to sign in the space above. I certify that the information submitted is true and correct. I authorize the listed credit references to release information to Crown C Supply Company, Inc. regarding my/our credit/financial status from trade and bank references listed. I do hereby agree to comply with credit terms set forth by Crown C Supply Company, Inc. as stated above.Title*Email Date* MM DD YYYY GUARANTY AGREEMENT The above signed request that Crown C Supply Company, Inc. extend credit to the above signed (hereinafter called Debtor) and Crown C Supply Company, Inc., has extended credit or may in the future by reason of such request. In consideration of such credit to be extended in its discretion by Crown C Supply Company, Inc., the Debtor the above signed, jointly and severally, unconditionally guarantee Crown C Supply Company, Inc., full and prompt payment of debt along with such interest as may accrue from date of execution of this agreement. The above signed is responsible for Debtor's obligations, whether created by himself or a third party on his behalf. Any compromise or surrender of Debtor's obligation has no effect on the liability of the above signed. No claim need be asserted against the Debtor or the representative of any deceased, incompetent, bankrupt or insolvent guarantor; this instrument binds all parties hereto. The liability of the above signed is immediate. Crown C Supply Company, Inc. need not exhaust remedies against the Debtor or any other person or corporation; nor establish securities or liens available to satisfy the debts of the Debtor through pursuit of an alternative remedy, this action does in no way waive the obligations of the above signed. The above signed remains liable for the balance of such debt. The above signed expressly agrees to pay reasonable attorneys' fees and costs of suit in the event it is necessary to file suit to collect under this Guaranty Agreement. The above signed expressly waives the following: 1) Notice of acceptance of the Guaranty and extensions of credit to the Debtor. 2) Presentment of and demand of payment to Debtor; 3) Protests and notices of default to the above signed or any other party; 4) All other notices to which the above signed might otherwise be entitled; 5) Demand for payment of this Guaranty. This guaranty personally binds the undersigned, his assigns, personal representatives and successors. The personal guarantees of each spouse of a principal shall be required. SignatureUse your mouse as a pen to sign in the space above. I certify and agree that I have read and agree to the terms and conditions of sale of the Guaranty Agreement above and certify that the information submitted is true and correct.