Test Credit Application Application Type * Charge Cash Registered Legal Name of Business * Billing Address Street * City * State * Zip * Shipping Address Street * City * State * Zip * Telephone * Fax Cell Estimated Monthly Purchase Volume * Date Business Established * Type of Business * Sole Proprietor Partnership Corporation LLC Municipality Purchase Order Required? * Yes No Tax Exempt? * Yes No Primary Contact for Accounts Payable * Email * Telephone * Owners Name * Home Address (City, State, Zip) * SSN or EIN * Other Contact (Name & Title) Email Telephone Trade References * Email * Bank Name & Address (Business Checking) * The undersigned applicant certifies that the information given is correct and complete, and further agrees to permit M&H Automotive Inc. to use this information to obtain additional required credit information. If, after reviewing all credit information, this applicant is approved, it is agreed and understood by the undersigned and M&H Automotive Inc. that all purchases made on open account will be PAID IN FULL according to M&H Automotive’s terms below. Our terms are 2% 10th, net 25 – Accounts are due in full by the 25th day of the month following the statement date. A 2% discount may be taken if paid in full by the 10th. Payments made with credit cards are not eligible for the 2% discount. No unpaid account will be increased after the 25th day, unless by special agreement. In the event M&H Automotive Inc. employs an attorney or collection agency to collect any amount due from applicant, then applicant shall be responsible for all costs of collection, including (without limitation) attorney’s fees, court costs, and any contingency fees paid to a collection agent. Applicant Name * Date * Applicant Signature * Clear Co-Applicant Name Date Co-Applicant Signature Clear Personal Guaranty REQUIRED FOR A NEW BUSINESS AND/OR AN OWNERSHIP CHANGE I hereby absolutely and unconditionally guarantee to M&H Automotive Inc. the due and punctual payment on demand of all debts and liabilities owed to M&H Automotive Inc. by the company. This guaranty shall remain an unconditional and continuing guaranty of payment, and not of collection. I acknowledge that my liability is primary rather than secondary. I do hereby waive of presentment, demand, protest, dishonor, default and/or nonpayment of such debts and notice of any modification or further extension of credit to the company, to which I hereby contest. I further agree that no failure or delay on the part of M&H Automotive Inc. in exercising of it’s rights hereunder shall operate as a waiver thereof, nor shall any single or partial exercise of any such rights preclude any other or further exercise of any rights that M&H Automotive Inc. may gave under this guaranty, and that my obligations hereunder shall not be subject to any rights of setoff, recoupment, deduction or counterclaim. In the event my obligations herein are collected by or through a third party then M&H Automotive Inc. shall be entitled to recover all costs of collection including attorney’s fees. I have read, understand and agree to Personal Guarantee above * Agree Name * SSN * Date * Signature * Clear Submit
