Include names, titles, addresses and social security numbers
Include Name, Address and Account Number of Bank
Include Name, Address, Phone and Fax Numbers and Account Number
Has applicant or any of its owners, participants, partners, or directors ever filed a voluntary petition in bankruptcy, been adjusted bankrupt, or made an assignment for the benefit of creditors?
Has a tax lien or civil suit been filed against applicant or any of its owners, principals, partners, officers, or directors, within the past six (6) years?
This information on this application is given to Tri Supply & Equipment for the purpose of buying material and renting equipment on credit and permission is therefore granted as evidence by my signature below for Tri Supply & Equipment or its agents to contact references listed hereon or any other source of information for the purpose of obtaining credit information. The undersigned certifies that both pages hereof and the information inserted herein has been carefully read and is true, correct, and complete. I (we) agree to Tri Supply & Equipment’s terms of “net 30 days”. I (we) agree to pay monthly services charges on overdue balances assessed at the rate of one and one half percent (1.5%) per month, (18% per annum). I (we) agree to pay in addition to any accrued service charge and invoiced amounts, any expenses including reasonable attorney’s fees and or collection fees which Tri Supply & Equipment may incur with respect to the collection of any amounts due.
This Agreement is subject to the laws of the state of Delaware. All disputes shall be resolved in the courts of the State of Delaware and [customer, client guarantor, etc.] expressly submits to the personal jurisdiction of the courts of the State of Delaware.
Applicant agrees to notify Tri Supply & Equipment in writing of any changes in ownership of applicant and the occurrence of any event which has had or may have a material and adverse effect on the applicant, its business, or prospects.
In consideration of the extension of credit Tri Supply & Equipment to account name, I (we), the undersigned, jointly and severally, hereby unconditionally guarantee the payment of all sums which may become due and payable to you for any and all materials, services, and equipment which you may supply, and if legal proceedings are commenced to enforce the collection of this guarantee shall be and is an open and continuous guarantee. The undersigned hereby waives presentation of any or all of the terms and conditions of credit.
It is understood that this guarantee is given without prejudice to any other collateral, right or security which you may have, including rights under a bond or bonds, or mechanic's liens. I (we) acknowledge that I (we) have received, read retained a copy of this guarantee and I hereby request that credit be extended to the applicant.
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