Credit Application — Traverse Solutions

Credit Application

Company Name

DBA

(If Applicable)

EIN

Tax ID

Owner/CEO/Principle

Person Completing Form

Corporation

(if applicable)

S Corp

C Corp

LLC

Phone Number

Street Address

City

State

ZIP Code

Accounting Department Contact Name

Accounting Department Email Address

Accounting Department Phone Number

Trade Reference Name #1

Trade Reference Name #1 Phone or Email Address

Trade Reference Name #2

Trade Reference Name #2 Phone or Email Address

Bank Reference Name

Bank Reference Name Phone or Email Address

Payment Terms

Check this box if you agree to the following terms: Tri County Feeds, LLC (DBA Traverse Solutions) typical customer "terms of payment" is Net 20 Days from date of invoice, provided the credit application is approved. Alternative terms may be offered if the application is incomplete or the applicant’s credit score does not meet Tri County Feeds, LLC standards. We reserve the right to charge customers finance charges of 1.5% per month, or the highest rate permitted by law, on any past due amounts. Additionally, any costs incurred for the collection of charges beyond the "terms of payment," through litigation or independent collection resources are the sole responsibility of the customer, including reasonable attorney fees and Court costs. Should litigation be required with this account, filing will occur in the Court of Common Pleas of Hamilton County, Ohio or in the appropriate United States District Court and shall be subject to Ohio Law. I (We) understand and agree to the above stated Terms of Payment and I (We) authorize Tri County Feeds, LLC to verify and investigate all information provided on this credit application.

Name

First Name

Last Name

Job Title

Date

YYYY

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