5233
Highway 37 South ·
P.O. Box 272
Bloomington, IN 47402-0272
Confidential Credit Application 812-824-9331
Fax: 812-824-2848
Company
Billing Address City State Zip
Shipping Address City State Zip
Telephone # Fax # Email
Type of Business Date Established
Type of Entity: Proprietorship Partnership Corporation Other
If Incorporated: State of Incorporation Year of Incorporation
Key Management Members and Owners Titles Percentage Ownership
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Bank Address
City State Zip
Phone Officer Account #
Three
Trade References, Addresses and Phone Numbers
(Two major suppliers and one smaller supplier)
Name Account # Estbl.
Address
City, State, Zip
Phone # Fax # Contact
sss
Name Account # Estbl.
Address
City, State, Zip
Phone # Fax # Contact
sss
Name Account # Estbl.
Address
City, State, Zip
Phone #
Fax #
Contact
Estimated
Monthly Purchases
Credit Line Requested
The above information is provided for the purpose of extending credit to our company on your terms of Net 30 from invoice date.
To the best of our knowledge and belief, the information is accurate and may be relied upon in making your credit decision.
We authorize our bank and suppliers to furnish you any information
necessary to complete your evaluation of our credit history.
Signature ___________________________________ Title ____________________ Date __________
Visit our Web Site at www.ptscorp.com!
In order to induce PTS, Inc. (hereinafter referred to as “Creditor”) to grant a line of credit to:
(Company Name)
(hereinafter referred to as “Debtor”)
I
(hereinafter referred to as “Guarantor”) hereby absolutely and unconditionally guarantee to
Creditor the prompt payment when due of any and all past and future indebtedness from Debtor
to Creditor.
This is a continuing guaranty and all indebtedness from Debtor to Creditor shall be conclusively
presumed to have been created in reliance thereon. Without future authorization from or notice to
Guarantor, Creditor may grant credit to Debtor from time to time either by sale of merchandise or
credit or any other manner. Guarantor hereby waives notice of acceptance of this guaranty and
notice of any extension of credit by Creditor to Debtor, and further waives demand for payment
and notice of default.
Creditor shall have its remedy under the Guaranty without being obliged to resort first to any other
remedy or remedies to enforce payment or collection of any indebtedness guaranteed hereunder
and may pursue any and all of its remedies at one or at different times. No exercise or non-exercise
by Creditor of any remedy, no dealing by Creditor with Debtor, no modification, extension or change
in the manner or time of payment shall
in
any way affect any of Guarantor’s obligations hereunder.
Guarantor shall also pay to Creditor on demand reasonable attorneys’ fees and all costs and
other expenses incurred by Creditor in collecting any indebtedness guaranteed hereunder or
enforcing this guaranty.
This guaranty shall remain in full force until Guarantor delivers to Creditor written notice revoking
it as to indebtedness incurred subsequent to such delivery. Such revocation shall not affect any of
Guarantor’s obligations
hereunder with respect to indebtedness theretofore incurred.
IN WITNESS WHEREOF, Guarantor has
Executed this Guaranty,
On the day of , 20
________________________________________ ________________________________________
(Witness) (Guarantor)