Account Application, Form Tc-721 - Exemption Certificate (Page 2 of 4) in pdf

NOTICE

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national

origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income

derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.

The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission.

If credit is granted, I the undersigned agree that I will immediately notify you of any changes in our business structure from that shown above. I

understand that all invoices will be paid by the due date, according to the terms on the invoice, or I will pay a finance charge as indicated on the invoice.

In consideration of benefits accruing to me, I guarantee payment of all correct charges to the business and if for any reason the account is not paid when

due, according to terms on invoice, I will, if collection is required, pay a reasonable attorney fee; or if this account is placed in the hands of a collection

agency, I acknowledge that you will be damaged thereby to the extent of the collection charge against you, and I therefore agree that I will pay to you, as

liquidated damages, an amount equal to the amount charged you on said collection, not exceeding, however, fifty percent of the amount unpaid.

Applicant, whose signature appears hereafter, warrants that all of the information provided by the applicant on this application is true and correct and

that the same is given for the purpose of establishing credit and recognizes that the seller herein if granting credit is relying completely on such

information. I understand these terms and agree to meet them if credit is extended. This document constitutes the entire agreement between the

undersigned and the creditor, and I acknowledge that no person has made any representations or promises to me in conflict with the above provisions

Signature:

Date:

Title:

Print Name:

AUTHORIZATION TO OBTAIN CREDIT REPORT/HISTORY

The undersigned hereby consent(s) to Wasatch Meats, Inc.’s use of a non-business consumer credit report on the undersigned in order to further

evaluate the credit worthiness of the undersigned as principal(s), member(s), partner(s), proprietor(s) and/or guarantor(s) in connection with the

extension of business credit as contemplated by this credit application. The undersigned hereby authorize(s) Wasatch Meats, Inc. to utilize a consumer

credit report on the undersigned in connection with the extension or continuation of the business credit represented by this credit application. The

undersigned as [an] individual(s) hereby knowingly consent(s) to the use of such credit report consistent with the Federal Fair Credit Reporting Act as

contained in 15 U.S.C. § 1681 et seq.

Signature:

Date:

Social Security No.:

Signature:

Date:

Social Security No.:

Signature:

Date:

Social Security No.:

WITHOUT SIGNING AND DATING, THIS CREDIT APPLICATION CANNOT BE PROCESSED!

PERSONAL GUARANTEE

To induce you to sell merchandise and extend credit upon an open account to the applicant named on this application, I hereby personally and

unconditionally guarantee the payment of any indebtedness which may arise from this credit application.

I understand that in consideration for and in reliance on this personal guarantee, you will sell merchandise and extend credit upon an open account to

the applicant.

In return for the above stated consideration, I acknowledge that this personal guarantee of credit is binding upon me as an individual, and I knowingly

sign this personal guarantee of credit as an individual and not in any representative capacity.

All prior notice of default and demand for payment are hereby waived.

This guarantee shall continue in full force and effect until such time as I give you written notice of revocation by certified mail. Such notice of revocation

shall be ineffective as to any existing indebtedness or as to any transaction or commitment previously undertaken by you prior to the written notice of

revocation.

Signature:

Date:

Print Name:

(OFFICE USE ONLY)

Date:

Salesman:

Approved by:

Terms Code:

Disapproved by:

Credit Limit:

Reason: