Credit Application | UnderCar Plus, Inc.

APPLICATION FOR CREDIT

WE HERE BY REQUEST THAT UNDERCAR PLUS INC. EXTEND CREDIT PRIVILEGES TO OUR COMPANY AND CERTIFY THAT THE INFORMATION PROVIDED BELOW IS CORRECT. WE AGREE TO MEET THE TERMS AND THE CONDITIONS SET FORTH BELOW IF APPROVED BY UNDERCAR PLUS INC.

DBA Name *

HEREINAFTER REFERRED TO AS “PURCHASER"

The Company is a *

Exact Legal Name *

Federal ID# *

Shipping Address *

Address Line 1

City

State

Zip Code

Same as Shipping Address? *

Yes
No

If Yes, bypass Billing Address.

Billing Address

Address Line 1

City

State

Zip Code

Account Manager *

Phone *

Email *

How Long in Business

Phone *

Premises

Name & Address of Mortgagor OR Landlord

Are Any of Your Business Assets Pledged as Security for a Loan or Credit?

If Yes, Explain?

TRADE REFERENCE: (3 REQUIRED)

PLEASE COMPLETE HIGHEST MONTHLY CREDIT REFERENCES

1. Company Name *

Contact Name *

Phone *

Address

Address Line 1

City

State

Zip Code

2. Company Name *

Contact Name *

Phone *

Address

Address Line 1

City

State

Zip Code

3. Company Name

Contact Name

Phone

Address

Address Line 1

City

State

Zip Code

BANK INFORMATION

Bank Name *

Type of Account *

Checking
Savings

Account Number

Address

Address Line 1

City

State

Zip Code

Contact

Phone

NAME OF OWNER, PARTNERS OF CORPORATE OFFICERS

Name *

Phone *

Home Address

Address Line 1

City

State

Zip Code

You Own This Property?

Yes
No

California Driver License# *

THE UNDERSIGNED AGREES TO THE FOLLOWING TERMS AND CONDITIONS

THE UNDERSIGNED INDIVIDUALLY, IN CONSIDERATION OF “UNDERCAR PLUS INC” EXTENDING CREDIT TO “PURCHASER” DO HEREBY PERSONALLY GUARANTEE PAYMENT IN FULL TO “ UNDERCAR PLUS INC” OF ALL AMOUNTS HERE AFTER OWED TO “UNDERCAR PLUS INC.” BY “PURCHASER” AS WELL AS LEGAL FEES, SHOULD UNDERCAR PLUS INC. REFER THE ACCOUNT TO FOR COLLECTIONS. SUCH GUARANTEE IS MADE EACH TIME THAT SERVICES OR MERCHANDISE ARE ORDERED ON CREDIT FROM “UNDERCAR PLUS INC.” I (WE) HEREBY AUTHORIZE RELEASE TO UNDERCAR PLUS INC. OF ANY AND ALL INFORMATION CONCERNING EMPLOYMENT, CHECKING ACCOUNTS, SAVINGS ACCOUNTS AND INFORMATION ON ALL ORDER CREDIT MATTERS THAT MAY BE RELEVANT TO THIS APPLICATION AND AGREE THAT UNDERCAR PLUS INC. MAY VERIFY THIS INFORMATION FROM TIME TO TIME. UNDERCAR PLUS INC. RESERVES THE RIGHT TO TERMINATE OR MODIFY THE TERMS OF THE CREDIT WITHOUT FURTHER NOTICE.

Signature *

Name *

Date *