Fillable New Customer Form (Page 4 of 4) in pdf

Parties hereby agree that all purchases made are subject to the following terms and conditions:

Representation by Applicant. In order to induce the extension of credit requested on this application, the applicant warrants that the

information given in this application is true and correct and agrees that the information is material to granting the credit to the applicant.

The applicant agrees to advise Dacotah Paper Co (the “Company”) by sending the Company a notice in writing to PO Box 2727, Fargo

ND 58108-2727, of any material change in the information set forth herein or furnished herewith.

Authority to Verify Information. The applicant authorizes the representatives of the Company to contact any, or all, of the references, at

any time, given on this application and further authorizes each of those references to disclose to the Company any and all information

the references may have relating to the applicant.

No Obligation to Extend Credit. The execution of this application does not obligate the Company to extend credit to the applicant. The

decision to extend credit to the applicant will be made by the Company after reviewing this application and making whatever independent

investigation of the applicant’s credit history as the Company deems appropriate.

Promise to Pay. The undersigned purchaser hereby promises to pay all amounts due for goods and/or services purchased from Dacotah

Paper Co. The undersigned purchaser further agrees that the amounts are due and payable to Dacotah Paper Co at PO Box 2727,

Fargo ND 58108-2727.

Attorney’s/Collection Fees. The undersigned purchaser agrees to pay, in the event their account becomes delinquent in accordance

with terms, it will pay all costs of collections including, but not limited to, collection agency fees, reasonable attorney fees, court costs,

filing fees and service fees.

Not Payable in Installments. The parties hereby acknowledge that the goods and/or services purchased from Dacotah Paper Co are

not payable in installments, but are payable in full as stated herein. Late charges will be assessed on accounts over 30 days past due

at the maximum rate allowable by law.

Right of Offset. Purchaser understands and acknowledges that in connection with the above described agreement with Dacotah Paper

Co., that Dacotah Paper Co., will have a right of setoff against accounts due the purchaser by Dacotah Paper Co., including without

limitation all accounts held jointly with someone else and all accounts which Dacotah Paper Co. may establish in the future. The right

of setoff means that Dacotah Paper Co. may at any time and without prior notices to purchaser, to the extent permitted by applicable

law, charge or setoff all sums due to purchaser by Dacotah Paper Co against the amount due to Dacotah Paper Co. by the purchaser.’‘

Individual Liability if Applicant Incorporates. If the applicant is an individual at the time of this application, and subsequently incorporates

or otherwise changes its organizational status, with or without the knowledge of the Company, the applicant agrees to be jointly and

severally liable to the Company for any indebtedness incurred by or transferred to such entity.

9..

Individual Credit History. 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 factor 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.

10.

Venue & Jurisdiction. Since all credit functions are done through Dacotah Paper Co, headquartered in Fargo ND, it is agreed that in the

event of suit, venue and jurisdiction will take place in Fargo ND, or in the judicial district of one of the divisions of Dacotah Paper Co, at

the option of Dacotah Paper Co.

11.

A digital or electronic record of this original signature shall constitute and deemed to be an original signature.

The undersigned attests to the accuracy and financial responsibility and willingness to pay our invoices in accordance with the above terms.

Terms of Sale are 1% 10 days (cash or check only), Net 11 days

______________________

______________ _____________ ___________________________

Name (Print)

Title

Date

Signature

PERSONAL GUARANTEE

To induce Dacotah Paper Co to approve this Credit Application and Purchase Agreement and in consideration of its so doing, I, the undersigned,

do hereby jointly, severally, and personally guarantee the above purchaser’s full performance of said purchase agreement and hereby agree to

indemnify Dacotah Paper Co. against any and all damage, loss, expense (including attorney’s fees) and/or liability sustained by Dacotah Paper

Co., by reason of, or related to, the above purchaser’s failure to perform or to pay when due, charges incurred in accordance with the above

agreement. Dacotah Paper Co. may enforce this agreement against the undersigned or any of them, jointly or severally, whether or not any

action is ever taken by it against the above purchaser.

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.

I acknowledge that I completely understand my potential financial obligation of signing a personal guarantee. I further certify that all of my ques-

tions regarding a personal guarantee have been answered.

A digital or electronic record of this original signature shall constitute and deemed to be an original signature.

______________________________________________

__________________

_______________________________________

Name

Date

Signature

Submit

New Customer Form Page 4

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