ARC Gas & Supply Credit Application
To ARC Gas & Supply, LLC
We hereby apply for the extension of credit by your firm. The following information is submitted as a basis for your consideration of our application.
State in which registered
We expect our monthly credit requirements from you to be about $
We believe that our firm is financially able to meet any commitments we have made and we expect to pay our invoices according to your terms.
To Trade/Bank References for
Please be advised that you have our permission to release credit information to ARC Gas & Supply, LLC for the sole purpose of acquiring credit terms with the same. Please accept this signed release as my permission to you to release said information.
Please list THREE references which allow you at least as much credit as you are requesting from us. In order to qualify as a reference, they should have sold to your company for at least ONE year on open terms, and your company should have purchased from them in the past six months.
Delinquent/Non-Payment of Account: In consideration for extension of credit to the undersigned, the undersigned shall be responsible for all costs of collections in the event the account becomes delinquent. These costs shall be included but is not limited to attorney's fees of 33 1/3% and any and all court costs associated with collection. The undersigned agrees to jurisdiction and venue in the Cuyahoga County Courts in the state of Ohio.
PERSONAL GUARANTEE: In consideration of credit being extended to the above named firm, I personally guarantee all indebtedness thereunder. I further agree that this guaranty is an absolute, complete and continuing one and no notice of the indebtedness of any extension of credit already or hereafter contracted by or extended need be given. The terms may be rearranged, extended and/or removed without notice to me.
BLANKET CERTIFICATE OF EXEMPTION
The undersigned hereby claims exemption to purchase of tangible personal property from ARC GAS & SUPPLY, LLC on and after
and certifies that this claim is based upon the purchasers proposed use of the items purchased, the activity of the purchaser, or both, as shown hereon:
PURCHASER MUST STATE STATUTORY REASON FOR CLAIMING EXEMPTION OR EXCEPTION
Purchaser's Activity, i.e.
Utility, Church, etc.