SMOKY MOUNTAIN MATERIALS, INC. 5218 South National Drive Knoxville,
TN 37914
OFFICE (865) 637-1588 FAX (865) 637-8762 APPLICATION FOR CREDIT
LEGAL NAME OF COMPANY
STREET ADDRESS
MAILING
ADDRESS
CITYSTATEZIP
CODEFED ID#
CORPORATION PARTNERSHIP PROPRIETORSHIP LLC/LLP
NAME OF PRINCIPAL SS#TITLE
NAME OF PRINCIPAL SS#TITLE
ACCOUNTS PAYABLE CONTACTPHONE
HOW LONG IN BUSINESSCREDIT LINE
REQUESTED $SALES REP
PHONEFAXMOBILE
PAGER
E-MAIL ADDRESS
BANK INFORMATION
BANK NAMEADDRESS
A/C#OFFICERPHONE
I,AUTHORIZE MY BANK TO GIVE
OUT INFORMATION ON MY
ACCOUNT FOR THE PURPOSE OF OBTAINING CREDIT FROM SMMI
AUTHORIZED BUYERS:
DO YOU REQUIRE PURCHASE ORDER NUMBERS? YESNO
SALES TAX INFORMATION: TAXABLETAX-EXEMPT
PLEASE ATTACH A COPY OF EXEMPT CERTIFICATION-TAX WILL BE CHARGED UNTIL
RECEIVED!!
HAVE YOU EVER TAKEN/FILED BANKRUPTCY ? YESNOIF
SO, WHEN?
MAJOR SUPPLIERS CURRENTLY EXTENDING YOU CREDIT
*NAME
ADDRESS
PHONEFAX
A/C#
*NAME
ADDRESS
PHONEFAX
A/C#
*NAME
ADDRESS
PHONEFAX
A/C#
*NAME
ADDRESS
PHONEFAX
A/C#
*NAME
ADDRESS
PHONEFAX
A/C#
*NAME
ADDRESS
PHONEFAX
A/C#
PAYMENT TERMS: NET 10th PROX. *1.5%
INTEREST CHARGED ON PAST DUE INVOICES AND CHARGING PRIVILEGES MAY BE
SUSPENDED!
The undersigned does hereby make application for a credit account to
Smoky Mountain Materials, Inc., hereinafter known as SMMI and by doing so,
authorizes SMMI in connection with the establishment and maintenance of
this account to investigate the credit worthiness and capacity of our
company and its officers and/or principals. The undersigned as an
authorized signatory warrants that all information supplied to SMMI is
true and correct in every respect, that our company is financially able to
meet any commitments made to SMMI and personally warrants that payment
will be made on the designated due date following the invoice date as
indicated on each invoice rendered by SMMI to us, notwithstanding our
failures to receive any money due from others. It is mutually understood
and agreed that SMMI at its sole discretion, may suspend credit to us
prior to shipment of any orders whenever SMMI feels its position has
become impaired or insecure. I/We agree that all transactions between our
companies will be construed and determined according to the laws of the
State of Tennessee and any litigation between us and SMMI will be
exclusively within Tennessee jurisdiction unless otherwise chosen by SMMI,
and I/We agree to accept service by mail. I/We agree to pay all cost
incurred by SMMI in the collection of any outstanding balance or the
recovery of any products by SMMI including reasonable collection agency
and/or attorney fees in addition to all other damages. SMMI is hereby
authorized to deliver goods without signature and/or to perform services
at my/our request and to charge same to my/our account. This agreement
shall continue until written notice to the contrary is given and accepted,
which acceptance shall be evidenced by letter from SMMI. I/We have read
and do understand this Credit Agreement and by evidence of my signature,
agree to said terms.
SIGNATURE OF OFFICER/OWNER AND TITLE
SIGNATURE OF OFFICER/OWNER AND TITLE
PERSONAL GUARANTEE:
I, RESIDING AT
(HOME ADDRESS)
FOR AND IN CONSIDERATION OF YOUR EXTENDING CREDIT AT MY
REQUEST TO HEREINAFTER REFERRED TO AS THE “COMPANY” OF WHICH I AM(TITLE)
HEREBY PERSONALLY GUARANTEE TO YOU THE PAYMENT AT
IN THE STATE OFOF ANY OBLIGATION OF THE COMPANY AND I HEREBY AGREE TO
BIND MYSELF TO PAY YOU ON DEMAND ANY SUM WHICH MAY BECOME DUE TO YOU BY
THE COMPANY WHENEVER THE COMPANY SHALL FAIL TO PAY THE SAME. IT IS
UNDERSTOOD THAT THIS GUARANTY SHALL BE A CONTINUING AND IRREVOCABLE
GUARANTEE AND INDEMNITY FOR SUCH INDEBTEDNESS OF THE COMPANY. I DO
HEREBY WAIVE NOTICE OF DEFAULT, NON-PAYMENT AND NOTICE THEREOF AND CONSENT
TO ANY MODIFICATION OR RENEWAL OF THE AGREEMENT HEREBY GUARANTEED.
SIGNATURE OF GUARANTOR
SOCIAL SECURITY NUMBER
DATE
SMOKY MOUNTAIN MATERIALS, INC., DOES NOT DISCRIMINATE IN THE GRANTING OF
CREDIT BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX MARITAL STATUS
OR AGE.