APPLICATION FOR CREDIT

COMPANY NAME

										(        )
STREET ADDRESS								PHONE NUMBER

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CITY, STATE & ZIP CODE							FAX NUMBER

TYPE OF BUSINESS & YEARS ESTABLISHED		ESTIMATED MONTHLY PURCHASE 

______________________________CONTRACTORS LICENSE NUMBER   _____________________TYPE
FINANCIAL INFORMATION

PLEASE CIRCLE ONE:		PROPRIETORSHIP		PARTNERSHIP	CORPORATION
BANK INFORMATION

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NAME/ACCT. NUMBER		COMPLETE ADDRESS		PHONE NUMBER

NOW BUYING ACTIVELY ON CREDIT FROM:

								(        )				(        )
NAME			COMPLETE ADDRESS		PHONE NUMBER		FAX NUMBER

								(        )				(        )
NAME 			COMPLETE ADDRESS		PHONE NUMBER		FAX NUMBER
	
								(        )				(        )
NAME			COMPLETE ADDRESS		PHONE NUMBER		FAX NUMBER

								(        )				(        )
NAME			COMPLETE ADDRESS		PHONE NUMBER 		FAX NUMBER

								(        )				(        )
NAME 			COMPLETE ADDRESS		PHONE NUMBER		FAX NUMBER

LIST CURRENT LUMBER SUPPLIERS

PAGE 2
PRINCIPALS IN BUSINESS

NAME AND TITLE				SOCIAL SECURITY NUMBER		DRIVER’S LICENSE NO.

HOME ADDRESS				CITY, STATE & ZIP CODE		PHONE NUMBER

NAME AND TITLE				SOCIAL SECURITY NUMBER		DRIVER’S LICENSE NO.

HOME ADDRESS				CITY, STATE & ZIP CODE		PHONE NUMBER

NAME AND TITLE				SOCIAL SECURITY NUMBER		DRIVER’S LICENSE NO.

HOME ADDRESS				CITY, STATE & ZIP CODE		PHONE NUMBER

ARE PURCHASES TAXABLE______ RESALE_____  PLEASE FURNISH A RESALE CERTIFICATE.
SALES TAX WILL BE CHARGED UNTIL RESALE CERTIFICATE IS RECEIVED.
ARE PURCHASE ORDERS REQUIRED?	YES____	VERBAL____		WRITTEN___
						NO_____
PERSON IN CHARGE OF ACCOUNTS PAYABLE     _____________________________________________
IF REQUIRED, PLEASE ATTACH A LIST OF ALL PERSON AUTHORIZED TO SIGN ON ACCOUNT.

IN THE EVENT CREDIT IS EXTENDED BY ORANGE HARDWARE  & LUMBER CO., THE UNDERSIGNED DOES HEREBY AGREE AS FOLLOWS:  
A.	TO PAY WITHIN THE TERMS OF SALE ESTABLISHED BY ORANGE COAST HARDWARE & LUMBER, CO.
B.	IN THE EVENT IT BECOMES NECESSARY TO FILE SUIT TO COLLECT ANY MONEY DUE ORANGE COUNTY LUMBER CO., THE UNDERSIGNED PROMISES TO PAY ALL COSTS OF SAID SUIT, INCLUDING REASONABLE ATTORNEYS FEES.
C.	I (WE), HEREBY AGREE TO PAY A LATE CHARGE OF 1.5% PER MONTH (18% PER YEAR) ON ALL PAST DUE BALANCES.

I (WE) HAVE READ AND AGREE TO THE CONDITIONS AS STATED.

__________________________________				___________________________________
SIGNATURE							SIGNATURE

__________________________________				___________________________________
NAME								NAME

__________________________________				___________________________________
TITLE				DATE				TITLE				DATE

MUST BE SIGNED BY OWNER, PARTNER, OR OFFICER
ALL BLANKS MUST BE COMPLETED

PERSONAL GUARANTEE
THIS PERSONAL GUARANTEE IS GIVEN IN CONSIDERATION OF ORANGE COAST HARDWARE & LUMBER CO., GRANTING CREDIT TO THE ABOVE COMPANY.  I PERSONALLY AND UNCONDITIONALLY GUARANTEE PAYMENT OF ALL CHARGES MADE BY THIS FIRM AS A RESULT OF THIS CREDIT APPLICATION SHOULD PAYMENT NOT BE MADE IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF SALE.

________________________________				_______________________________________		
SIGNATURE							DATE