Jil’S FARM MEAT CO., INC. 5881 N. WINTON WAY P.O. BOX 1098 ATWATER, CA 95301 TEL: (209) 358-3535 FAX: (209) 358-3599 APPLICATION FOR CREDIT DATE INSTRUCTIONS: Please print or type. Fill ingjspaces and complete by signing where indicated. A signature is mandatory prior to receiving credit term. ifa corporation, signature must be that of an officer or authorized BILLING ADDRESS: SHIPPING ADDRESS. NAME NAME ADDRESS, ADDRESS. cry cry STATE zip STATE ZP BUSINESS PHONE BUSINESS FAX SOC. SEC # OWNER / OFFICER DRIVER LIC # HOME ADDRESS ciy STATE Zp HOME PHONE CHECK ONE: INDIVIDUAL / SOLE PROPRIETOR PARTNERSHIP CORPORATION. FEDERAL TAX NO, PERSON TO CONTACT REGARDING PAYMENTS. TYPE OF BUSINESS ESTIMATED ANNUAL SALES. DATE BUSINESS STARTED 00 YOU RENT OR OWN BUILDING IF RENT, LIST LANDLORD REAL ESTATE MORTGAGE HELO BY: ‘TRADE REFERENCES: COMPANY NAME ADDRESS CITY, STATE, ZIP PHONE 1 2 3 4 BANK REFERENCE NAME OF BANK BRANCH ADDRESS, CITY, STATE, ZIP ‘ACCOUNT NUMBER PHONE BANK OFFICERJIM’S FARM MEAT CO., INC. 5881 N. WINTON WAY P.O. BOX 1098 ‘ATWATER, CA 95301 TEL: (209) 358-3535 FAX: (209) 358-3599 AGREEMENT FOR PAYMENT OF GOODS AND COLLECTION EXPENSES For and in consideration ofthe sale of goods and services and the extension of credit to applicant by Jim's Farm Meat, the undersigned Corporation, Partnership, Proprietorship, or natural person(s) hereby agree to the following terms and ‘conditions upon acceptance ofthis application by Jim's Farm Meat. 4. Prompt payment shall be made to Jim's Farm Meat of all sums due and owing upon demand. All balances are net 7 DAYS unless payment is required sooner by Jim's Farm Meat. 2. Upon default in payment of obligation due and owing to Jim’s Farm Meat and in the event collection proceedings, including legal action are instituted by Jim's Farm Meat for collection the undersigned hereby ‘agrees to pay all costs, expenses, and atfomey's fee incurred by Jim’s farm Meat pursuant to the collection or attempt to collect sald amount. 3. Finance / service charge on past due and unpaid balances shall accrue at the rate of 1 1/2% per month, and, the undersigned agrees to pay all nance / service charges on past due amounts. 4, The terms of this agreement are contractual and not merely recitals and are intended to bind the heirs, executors, administrators, successors, and assigns ofthe applicant. 5. Inthe event that legal proceedings are instituted by Jim's Farm Meat pursuant to the collection of the said debt ‘owed, the undersigned agrees and stipulates to the venue ofthe said proceedings to be Merced County, State of California 6. We hereby authorize our credit references to release any information necessary to assist in establishing a line of credit wth Jim's Farm Meat. ‘The undersigned has read all ofthe provisions of the above credit application and payment, agreement, understands the terms and conditions herein, and hereby consents to the same. If signed by representative of a Corporation, the undersigned hereby verifies that he has the actual and requisite authority to bind the Corporation of this document land execute this agreement on behalf of the Corporation. Name Partner name. Signature Signature Tite Tie. Date Date.