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Credit Application Form SamuelMüeller 2

Division of Trumbull Industries, Inc. CREDIT APPLICATION Date
PO Box 200 A Faxed or e-mailed copy of this document & signature will be considered an original
Warren, OH 44482-0020 sales Rep:Customer #: Branch:
Phone: 844.974.2400 When completed Fax to (330) 399-4421 and Mail to Credit Manager's attention
Name of Business(If incorporated. as recorded by Sec. of State) : County :
Billing Address :
Business Phone : Type of Business : Year started and/or Incorporated :
Business Fax : AP E-Mail : State of Incorporation :
Type of Entity Corporation Individual/DBA Partnership LLC FEDERAL ID:
Change in ownership or legal entity must be reported Immediately, via fax, e-mail, or certified mail, otherwise liability for the debts of the company remain the responsibility of the Owner & Officers listed on this document until such changes have been reported and acknowledged by Trumbull Industries.
Invoicing PO # Required Job Address Required Sales Tax Status Exempt Taxable If Exempt attach Certificates
Estimate Yearly Purchases: Amount of Monthly Credit Requested:
What type of material do you anticipate purchasing? Plumbing Kitchen Appliances Industrial Supplies PVF Municipal Material
Full name, home address, home phone number, mobile phone number, and e-mail address of Owners, Officers or Partners
Name : Name :
Social Security : Social Security :
Title : Title :
Address : Address :
E-Mail Address : E-Mail Address :
Home Phone : Mobile Phone : Home Phone : Mobile Phone :
Current Trade and Bank References : Four Trade references and one Bank reference with complete addresses.
List only those businesses from whom you purchase on open account
Company Name : Company Name :
Address : Address :
City, State Zip : City, State Zip :
Phone : Fax : Phone : Fax :
Company Name : Company Name :
Address : Address :
City, State Zip : City, State Zip :
Phone : Fax : Phone : Fax :
BANK : Checking Account # Savings Account #
LOANS Mortgage # Installment #
Contact Person : Phone : Fax :
Purchases from Samuel Müeller a Division of Trumbull Industries, Inc. (herein referred to as Trumbull Industries, Inc.) are due as stated on the Invoice. All sales are subject to Samuel Müellers' Terms & Conditions. I (we) agree to pay a 2% monthly service charge (24% APR) as Invoiced. Service Charges are assessed on past due balances on the last business day of the month. If the account Is placed with a third party for collection I (we) agree to pay all collection costs Including, but not limited to, attorney, collection agency, lien fees, attorney and court costs. The venue of any court action will be the choice of Trumbull Industries. I (we) agree to execute and deliver to Trumbull Industries such financing statements as Trumbull Industries requests to perfect such security interests. I (we) have read and agree to the Terms and Conditions of Sale as published on our website www.trumbull.com.

I (we) authorize Trumbull Industries, Inc. or any of its affiliated corporations, the right to Investigate our credit with any of our suppliers, financial Institutions, credit bureaus or credit reporting agencies and further release Trumbull Industries from any and all obligations, restrictions and liabilities imposed by law with respect to obtaining credit information concerning the undersigned business.
Full Legal Name of Company : Signature of Officer/Owner/ Partner or Authorized Employee :
Date Title :
Your application must be completed and signed A FAXED COPY OF THE DOCUMENT & SIGNATURE WILL BE CONSIDERED AN ORIGINAL
Date:

A faxed copy of this guaranty will be considered an original.


Samuel Müeller a Division of Trumbull Industries, Inc. GUARANTY


In consideration of the sale of goods by Samuel Müeller a Division Trumbull Industries, Inc., (herein after referred to as Trumbull Industries, Inc.) 400 Dietz Road, Warren, OH 44483 to Located at ("Debtor")and other good and valuable consideration, the undersigned, as individual(s), hereby consent to Trumbull Industries obtaining consumer credit reports for the purpose of evaluating their creditworthiness in connection with an application for business credit and further guarantee prompt payment, when due, of all claims and demands of Trumbull Industries, Inc. now existing and hereafter arising, against Debtor, including but not limited to open account obligations from the sale of goods by Trumbull Industries, Inc. to Debtor. The sale of such goods shall be deemed to arise when goods ordered by Debtor have been shipped or, in the case of custom goods, have been substantially completed by Trumbull Industries, Inc.

For the purpose of this Guaranty, payment of said claims and demands shall be due in accordance with the terms of any and all agreements between Trumbull Industries, Inc. and Debtor with respect to said claims and demands, and in addition, payment of all said claims and demands shall, at the option of Trumbull Industries, Inc. become immediately due, at any time when (1) Debtor defaults in any way of its obligations to Trumbull Industries, Inc.; (2) a petition under any Chapter of the Bankruptcy Code, or for the appointment of a receiver of any part of the property of the Debtor, is filed against the Debtor; (3) Debtor makes a general assignment for the benefits of its creditors, suspends business, or commits or suffers any act or event amounting to a business failure; or (4) an attachment or judgment lien on, or a tax lien is filed against, any property of Debtor or any property treated under law as if were Debtor's.

This is an absolute, unconditional, and continuing guarantee of payment and not of collection and the undersigned further jointly and severally waive any right to require that any action be brought against Debtor, other guarantors(s), or any other person or to require that resort be had to any security or to any balance of any deposit account or creditor on the books of Trumbull Industries, Inc. in favor of Debtor or any other person, and will remain in force and effect until revoked by written notice received and acknowledged in writing by an officer of Trumbull Industries, Inc. Any such revocation will not affect then-existing liabilities of the undersigned hereunder who have not given such notice, for any such claims and demands arising hereafter. This guaranty will extend to and cover renewals of the claims and demands guaranteed hereby and extensions of time for the payment thereof and will not be affected by any extension or change of the time of payment or any surrender, exchange, acceptance, or release by Trumbull Industries, Inc. of any other guaranty or security held by it for any such claims or demands. In the event of the receipt of a written request from any of the undersigned, Trumbull Industries, Inc. will provide that person with current information regarding the amount of the indebtedness then owed to Trumbull Industries, Inc. by Debtor.

Notice of acceptance of this guaranty, notice of the extensions of credit to Debtor, notice of the sale and delivery of goods to Debtor, notice of default, diligence, presentment, protest, demand for payment, and notice of demand or protest are hereby waived. Trumbull Industries, Inc. in its sole arbitrary discretion may determine the reasonableness of the period which may elapse prior to the making of demand for payment against Debtor. Trumbull Industries, Inc. need not exhaust any of its remedies against Debtor or any security for the claims and demands guaranteed hereby before having recourse against the undersigned under this guaranty

The undersigned will reimburse Trumbull Industries, Inc., on demand, for all expense, including reasonable attorney's fees, incurred by Trumbull Industries, Inc. in the enforcement or attempted enforcement of any Trumbull Industries, Inc.'s rights hereunder against any of the undersigned. This guaranty will be governed by and construed in accordance with the laws of the State of Ohio and the venue of any court action will be the choice of Trumbull Industries, Inc. It will be binding upon the undersigned and their personal representatives, heirs, assigns therefore, and will inure to the benefit of Trumbull Industries, Inc. and its successors and assigns. If this guaranty is signed by more than one person, their obligations hereunder will be joint and several


IN WITNESS WHEREOF, the undersigned have set their hand(s) and seal(s) this day of , 20 
          WARNING: By signing this paper you give up the right to notice and court trial. If you do no pay on time a court judgment may be taken against you without your prior knowledge and the powers of a court can be used to collect from you or your employer regardless of any claims you may have against the creditor whether for returned goods, failure on his part to comply with the agreement, or any other causes.
WITNESS
GUARANTOR(S)
     
SIGNATURE: SIGNATURE:
PRINT HERE: PRINT HERE:
ADDRESS: ADDRESS:
CITY, ST, ZIP: CITY, ST, ZIP:
SS NUMBER:
     
Subscribed and sworn to before
me thisday of ,
20 ,by (seal)
SIGNATURE:
PRINT HERE:
ADDRESS:
CITY, ST, ZIP:
SS NUMBER:
Notary Public(Print or stamp name)

My Commission Expires
     
SIGNATURE:
PRINT HERE:
ADDRESS:
CITY, ST, ZIP:
SS NUMBER:
Division Of Trumbull Industries,Inc.
PO BOX 200
warren, OH 44482-0020
Phone 844.974.2400

SUPPLEMENT TO CREDIT APPLICATION


Customer Name :                                                                                             Date

Your account will be set-up with the following options you select.

INVOICES (Please select how you prefer to receive your Invoice)

E-mail Invoices    

Fax Invoices

Your Purchase Order Number must appear on every Invoice

Your Job Name / Address must appear on every Invoice


STATEMENTS (Please select how you prefer to receive you Statement)

E-mail Statement :   

Fax Statement :

No Statement

ACKNOWLEDGEMENTS

E-Mail ACkn0Wledgements for all of my orders

E- Mail Acknowledgements only for orders with special (non-stock) items

Do Not send Acknowledgements

PURCHASING CONTACT                 Name:

E-Mail :                 Phone:                  Fax:

SHIPPING ADDRESS AND SALES TAX

Please send us a list of each location, showing address, city, state, phone number that you would expect us to repetitively ship to. We'll enter these in our computer system ahead of time, to speed up the processing of your orders.

Contractors should advise us the address of each job we'll deliver to and indicate which are taxable, and which are exempt.
When your entire account or specific iob is exempt, you must furnish us an exemption certificate.

Please use the space below to advise us of any special requirements.

 

NAME :

PHONE NUMBER :

E-MAIL ADDRESS :		 Trumbull Industries, Inc.
Credit Department
P. O. Box 200
Warren, OH 44482
Phone: 844.974.2400
Fax: 330.399.4421
E-Mail: dlough@trumbull.com
                                                                                                     

Over 90 Years of Service

Uniform Sales and Use Tax Certificate Multijurisdictional


The undersigned hereby certifies that the merchandise purchased from our company on and after (date) unless the order shall specify or until this notice is revoked in writing, is exempt from Sales and Use Tax for the follow reason:

( ) For Resale ( ) Other (specify)

The undersigned holds licenses and permit certification numbers, as noted in the following states. The undersigned assumes liability for payment directly to these states of any tax due if he uses or consumes the purchased property for a taxable purpose.

State Registration Number State Registration Number State Registration Number
AL KY ND
AK LA OH
AZ ME OK
AR MD OR
CA MA PA
CO MI RI
CT MN SC
DE MS SD
DC MO TN
FL MT TX
GA NE UT
HI NV VT
ID NH VA
IL NJ WA
IN NM WV
IA NY WI
KS NC WY

Signed this Day of , 20
Signature Title
Company Name :
Address: street city zip

400 Dietz Road I P.o. Box 200 | Warren, OH 44482-0200 | Phone: 844.974.2400 | Fax: 330.392.1374

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