DATE:_____________________ SALES PERSON:______________________
CYNAMON BROS. & SONS, INC.
1051 EAST 49th STREET, HIALEAH, FLORIDA 33013
EMAIL: cynmn@bellsouth.net
NAME OF BUSINESS______________________________________________ PHONE:____________________________
MAILING ADDRESS:______________________________________________CITY:_________________ZIP:___________
FAX #:_____________________________________________TAX EXEMPT #:____________________________________
TO ASSIST OUR CREDIT DEPARTMENT IN ESTABLISHING A MAXIMUM LINE OF CREDIT FOR YOU, PLEASE FURNISH US WITH THE FOLLOWING INFORMATION:
GENERAL CONTRACTOR LICENSE #:____________________________________________________________________
STATE LICENSE #:__________________________________________DATE ACQUIRED:__________________________
COUNTY LICENSE #: __________________________________________________________________________________
LIST NAMES, RESIDENCE ADDRESS, PHONE & TITLES OF PRINCIPALS:
A. ___________________________________________________________________________________________________
B. ___________________________________________________________________________________________________
C. ___________________________________________________________________________________________________
LIST THREE OPEN ACCOUNT SUPPLIERS:
NAME ADDRESS CITY, STATE, ZIP, PHONE
A. ___________________________________________________________________________________________________
B. ___________________________________________________________________________________________________
C. ___________________________________________________________________________________________________
BANK:
NAME ADDRESS CITY, STATE, ZIP, PHONE
A. ___________________________________________________________________________________________________
ACCOUNT #:____________________________________________BRANCH MANAGER:___________________________
PAYMENT: IF THIS MATER MUST BE REFERRED TO AN OUTSIDE COLLECTION AGENCY THEN YOU ARE RESPONSIBLE FOR ALL COST OF COLLECTION INCLUDING, BUT NOT LIMITED TO: REASONABLE ATTORNEY’S FEES, COURT COSTS, AND COST OF APPEAL. VENUE FOR ANY COURT ACTION SHALL BE IN DADE COUNTY, FLORIDA.
UNDER NO CIRCUMSTANCES ARE GOOD TO BE RETURNED TO THE SELLER UNLESS BUYER HAS RECEIVED SELLER’S WRITTEN INSTRUCTION TO DO SO. BUYER SHALL HAVE NO RIGHT TO DEDUCT THE AMOUNT OF ANY CLAIM FROM SELLER’S INVOICE UNTIL THE CLAIM IS ALLOWED BY SELLER OR ADJUDICATED AUTHORITY.
PERSON TO CONTACT ABOUT ACCOUNT:______________________________________________
(NAME) (TITLE)
Applicant agrees to pay any collection cost incurred to collect the amount balance, including reasonable Attorney’s fees.
The Undersigned Will/Will Not Submit a Financial Statement.
The undersigned as an inducement to grant credit warrants that the information submitted is true
and correct.
You are authorized to investigate the credit references listed above.
_______________________________________ ___________________________________________
(NAME) (TITLE) (NAME) (TITLE)
_______________________________________ ___________________________________________
(NAME) (TITLE) (NAME) (TITLE)
In consideration of credit being extended by CYNAMON BROS. & SONS, INC. to the above named applicant for merchandise to be purchased whether applicant be an individual or individuals, a proprietorship, a partnership, a corporation, or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee to CYNAMON BROS. & SONS, INC. the faithful payment, when due, of all accounts of said applicant for purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to undersigned guarantor or guarantors of dishonor or default by applicant or with respect to any security held by CYNAMON BROS & SONS, INC. extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwise be entitled and demand for payment under this guarantee. Any revocation of this guarantee shall be in writing and delivered to 1051 EAST 49TH STREET, HIALEAH, FLORIDA 33013.
_______________________________________ _____________________________________
_______________________________________ _____________________________________
Date Line Credit Approved/Denied____________________________________________.
COMMENTS: ________________________________________________________________________
_____________________________________________________________________________________