New Credit Application – UnderCar Plus Inc.

DBA Name

The Company is a

Exact Legal Name

Federal ID#

Shipping Address

Address Line 1

Address Line 2

City

State

Zip Code

Billing Address same as Shipping Address?

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Account Manager Name *

First

Last

Phone

Email *

How Long in Business

Phone

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

1. Vendor Reference Name *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

2. Vendor Reference Name *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Bank Name

Type of Account

Account Number

Name *

First

Last

Phone

You Own This Property?

California Driver License Number

Signature

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.

Name *

Date

M	T	W	T	F	S	S
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18	19	20	21
22	23	24	25	26	27	28
29	30