Individual Credit Application - State Of Indiana Page 2

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TERMS AND CONDITIONS

It is agreed the buyer will pay all invoices within stated terms and agrees to all terms contained in invoices supplied by seller as may be amended from time to

time. In the event payment is not timely made, the buyer also agrees to pay a time-price differential charge (service charge) of the lesser of 1.5% per month (18%

per annum) or the maximum lawful rate on all overdue amounts, and to pay all collection costs incurred by the seller in enforcement of the terms and conditions

of this agreement, including court costs, actual reasonable attorney’s fees and collection agency fees, within the standards of the industry, but not less than 25%

of the unpaid amount of principal and accumulated service charge all without relief from valuation and appraisement laws.

If legal action becomes necessary by either buyer or seller, the buyer agrees that this or any contemporaneous or subsequent agreement will be governed as to

validity, interpretation, construction, effect and all other respects by laws of the State of Indiana. Buyer further agrees that in the event legal action becomes

necessary by either buyer or seller, jurisdiction and preferred venue shall remain in Columbus in the state of Indiana.

Buyer further agrees that any line of credit desired or approved is not the limitation of liability, and the undersigned expressly agrees that it will be responsible for

valid charges in excess of a line of credit either desired or approved.

Having obtained all necessary authority, the undersigned authorizes seller and its agents, attorneys and employees to investigate the credit standing, financial

circumstances and responsibility of buyer and all owners, partners, and/or officers listed, and authorizes and instructs all persons having information concerning

buyer’s credit standing, financial circumstances and responsibility to release such information to seller, its agents, attorneys or employees. This includes without

limitation, authorization for seller and its agents, attorneys, and employees to request, obtain, and use for all purposes which seller deems necessary, a copy of any

credit bureau or consumer credit report for the entities/persons listed herein at any time.

The buyer further grants to seller a security interest in buyer’s equipment, contract rights, inventories, receivables and proceeds of sales as collateral to secure the

buyer’s performance of all obligations. The buyer hereby appoints any employee, agent, or attorney of seller as buyer’s attorney in fact to endorse and file on

behalf of buyer and UCC from to perfect or record the security interest.

All the information supplied by buyer is correct to the best of the knowledge of the undersigned, and the buyer understands that all goods or services purchased

from seller are subject to all terms and conditions contained in this credit application and agreement and all other terms and conditions contained on any of the

seller’s invoices.

Applicant ____________________________________________________________________ Date _______________________________________

Co-Applicant _________________________________________________________________ Date _______________________________________

For Office Use ONLY

Acct. ______________________________________ Approved by: ________________________________ Date _________________