Download Application CREDIT APPLICATION Step 1 of 3 33% Company InformationTrade Name:*D.B.A:*Billing Address:(street,city,state,zip)*Delivery Address:(street,city,state,zip)*Telephone:*Fax:Credit Cards AcceptedTerms:*CODChargeStatements Needed:*YesNoAccounts Payable Contact Name:*AP Telephone:*Accounts Payable Email Address:*Legal Entity:* Corporation Partnership Proprietorship LLC Other (specific) FEIN:*State Lic. No.*Sellers Permit No.:Ownership/ManagementName* Address* Phone* SSN* Bank/Mortgage InformationMortgage Lender:Phone:If Leased, Name and Phone of Lessor:Phone:Bank Name:*Address:*Account No:*Account Type:* Checking Savings Other Do you have outstanding Bank Loans:* Yes No Bank Contact:*Phone:*Email* Please Complete Page 2, Credit Applications Will Not Be Approved Without Trade References And An Authorized Signature.Trade References (Preferably Other Food Distributers)Name:*Name:*Address:*Address:*City/State/Zip:*City/State/Zip:*Phone No.:*Fax:Phone No.:*Fax:Email Address:*Email Address:*Terms of Sale:*Terms of Sale:*Name:Name:Address:Address:City/State/Zip:City/State/Zip:Phone No.:Fax:Phone No.:Fax:Email Address:Email Address:Terms of Sale:Terms of Sale:* Terms and Conditions Applicant (Purchaser) warrants the information and statements in this application are true and complete and are made for the purpose of inducing you to establish an open account line of credit. Northern Lakes Seafood & Meats is authorized to obtain any information considered necessary from any source concerning the statements of this application. The Purchaser named on the reverse side of this Credit Application Agreement agrees that all purchases made by the Purchaser or by any person representing himself to be an employee, agent, or representative of the Purchaser from Northern Lakes Seafood & Meats and it’s subsidiaries, affliates, and dividsion (the “Seller”) shall be subject ot the credit terms and conditions of the Seller as established and amended from time to time, including the terms and conditions set forth herein. The Purchaser represents and warrants that the information furnished herein authorizes Northern Lakes and Meats to investigate and obtain information from all the bank and other credit references and sources (whether or not listed in this Credit Application and Agreement) regarding the Purchaser’s credit worthiness. All credit extensions shall be made at the sole discretion of the Seller and may be denied, altered or terminated by the Seller at any time without cause. In the event of any change to the Purchaser’s account before the Seller reserves the right to require any such successors to submit a new credit application prior to any extension of credit to such successors. The Purchaser agrees to pay all amounts due to the Seller in full in accordance with the terms stated on each invoice. Any amount not paid when due to the Seller shall bear interest at the rate of eighteen percent (18%) per annum or the maximum lawful rate (whichever is less) until paid. A service charge will be payable by the Purchaser for any check returned by the Purchaser’s bank. Northern Lakes Seafood & Meats does not waive any additional rememdies available under applicable state laws for any returned check by the Purchaser’s bank due to insufficient funds. The Purchaser shall pay all attorney’s fees, collections and court costs and otherexpenses incurred by Northern Lakes Seafood & Meats to collect any obligations owning by the Purchaser, whether or not incurred in connection with litigation. The Purchaser agrees that the venue of any action to enforce this Credit Application and Agreement shall, at Northern Lakes Seafood & Meats’ option, be in the county in which Northern Lakes Seafood & Meats’ branch that supplies the Purchaser is located. Prior to the extension of credit to the Purchaser named on the reverse side of this Credit Application Agreement, Northern Lakes Seafood & Meats, may at its sole discretion, require an Individual Personal Guarantee.Purchaser Signature(s) of Applicant(s)*Please Print NameSignature/TitleDate CREDIT APPLICATIONCompany Name:*I authorize our bank(s) to furnish financial information required by Northern Lakes Seafood & Meats in connection with this application for credit. I certify that the above statements are true, and authorize Northern Lakes Seafood & Meats to investigate the information above for the purposes of obtaining merchandise on credit. If the applicant is a corporation, limited liability company or limited partnership, in consideration of granting credit to the applicant, the undesigned individually, and not as an officer/ director/member of applicant, absolutely and unconditionally guarantees and promises to pay Northern Lakes Seafood & Meats any and all indebtedness owed by applicant whenever created or owed and waive all defenses available to a guarantor and further waives all notices, demands and presentments. This guarantee will remain effective until all obligations of applicant are paid in full and all credit relations between N orthern Lakes Seafood & Meats and applicant have terminated. I will pay a reasonable attorney fee, collection fee, and any other reasonable cost incurred in the collection of said account. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status; age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the consumer credit protection act. The federal agency that administers compliance with this law concerning this creditor is federal trade commission, equal credit oppurtunity; Washington, DC, 20580. Terms: Credit terms are as stated on the invoice under “terms”. Invoices not paid according to terms will be subject to a 1.5% per month Finance Charge or the maximum amount allowable under law.(Typed name) Owner or Officer*(Date)*(Signature) Owner or Officer(Typed name) Witness(Date)(Signature) WitnessPlease type your name and today’s date, then sign and fax or email a printed version of this form to Northern Lakes Seafood & Meats.