Credit Application / Agreement Form (Page 2 of 2) in pdf

CREDIT APPLICATION / AGREEMENT (Cont.)

A service charge (1.5% per month) will be applied to all invoices unpaid after the 30 day terms stated. This equals

an annual percentage rate of 18% and I/we agree to pay such charges.

II.

If Reed & Perrine Sales, Inc., at their sole discretion refers your account to an attorney for the purpose of collection,

you will pay Reed & Perrine’s actual court costs and attorney fees equal to 33.34% of the total outstanding balance.

I agree that this is a reasonable amount of attorney fees.

III.

I/we agree that this contract shall be governed by New Jersey Law.

IV.

In the event that goods are returned, with prior approval, I/we agree to pay a 10% restocking charge. Anchor

products are charged a 25% restocking charge with prior approval.

In the event that a check is returned, I/we agree to pay a service charge.

VI.

This is a continuing personal guarantee which remains in effect even if the business entity is sold unless the

guarantor notifies Reed & Perrine Sales, Inc. by certified mail of your intention to no longer guarantee the debts of the

entity. In this event Reed & Perrine Sales, Inc. reserves the right to cease providing credit to the entity. Furthermore

should an employee that has the privilege of charging on your Reed & Perrine Sales, Inc. account be terminated or

their status has changed you must notify Reed & Perrine Sales, Inc in writing of any changes or you will be liable for

any charges incurred on your account.

I/we certify that I/we are principal(s) in the business listed herein and own or control at least fifty (50%) percent interest in s aid

business. In consideration of the extension of credit; I/we agree to personally guarantee payment of all my accounts balances

including interest and attorney fees. I/we waive any requirement that I/we be notified of any default by the buyer. This shall be a

continuing personal guarantee and shall not be affected by any extension of time or modifications to this agreement with or without

my/our consent:

Personal Name(s) ________________________________________________________________________________________

Drivers License # _____________________________________________________ Issuing State ______________________

(attach copy)

Credit Card # ____________________________________ Card Issuer _______________________ Exp Date _____________

(attach copy)

SS # _____________________

Home Phone (

) ____________________ Cell (

) _____________________

Home Address __________________________________________ City __________________________ State ____________

Bank Name _________________________________________ Acct # ____________________________________________

Street Address _____________________________________________ City ______________________ State _____________

Contact __________________________ Email _________________________________ Phone _________________________

Everything that I have stated in this application is correct to best of my knowledge. I understand that you will retain this application

whether or not it is approved. You are authorized to check my credit, bank references and employment history and to answer

questions about your credit experience with me. The undersigned has read and agreed to all the terms herein:

Print Full Name _____________________________________________

Signature __________________________________________________

Date _____________________________

(Principal, Owner or Officer)

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DO NOT WRITE BELOW THIS LINE – FOR OFFICE USE ONLY

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Credit Approved:

Yes

Credit Limit: _______________________

Acct # Assigned: ______________________

Classification: _____________________

Date Approved: _______________________

Approved By: ______________________

Revised 3/4/2016