Office

Office: 770-499-7386 P.O. Box 670344 Marietta, Georgia Fax: 770-428-7462

CREDIT APPLICATION

Legal Name of Business_____________________________________________________________

Address___________________________________________________________________________

City__________________________State__________Zip_____________Phone #______________

Fax#_______________________Mobile#__________________/Name______________________

Ownership: ( )Individual ( ) Partnership ( ) Corporation

Name and address of owners or partners:

___________________________________________________________________________________

Describe type of business:___________________________________________________________

Credit References:

Name Address Phone #

Bank______________________________________________________________________________

Supplier___________________________________________________________________________

The information herein provided is offered as a request by the applicant for an extension of credit. I authorize S. T. Metal Works, Inc., to make inquiry into matters set forth in this application and to obtain oral or written credit reports from any credit reporting agency in gathering information necessary for the evaluation of my credit and financial responsibility. In making this application for credit I understand terms of payment are net 30 days, unless otherwise specified, and that service charges are made at the rate of 1 1/2% per month on all accounts becoming 30 days or more past due. Minimum charge $5.00. Leins may be placed on your property for invoices delinquent over 60 days. I accept these terms and agree to make payments in accordance with them.

I _________________________________ do guarantee and agree to be personally responsible for the payment whether by open account acceptance, note or otherwise together with all damages and costs for which Purchaser may be obligated to Seller including costs of collection, suit, or other legal action, including attorney’s fees.

Guarantor’s Signature________________________________________________________________

Print Name________________________________________________________________________

Date___________________________

Sworn to and subscribed before me this _____ day of __________________________ 20_____

__________________________________________________ STAMP

Signature of Notary Public, State of ___________________

ersonally known _________ or Produced ID____________