Accounts Receivable Security Agreement Sample Contracts

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APPLICATION TO ENTER INTO ACCOUNTS RECEIVABLE SECURITY AGREEMENT COMPANY INFORMATION
Accounts Receivable Security Agreement • June 4th, 2001

Do you have any Federal or State taxes past due, including but not limited to withholding taxes? Yes No If yes, has any lien been filed? Yes No Any levies filed? Yes No

ACCOUNTS RECEIVABLE SECURITY AGREEMENT
Accounts Receivable Security Agreement • February 18th, 2011 • Applied Natural Gas Fuels, Inc. • Crude petroleum & natural gas • California

DATE: February 8, 2011 BORROWER: Applied Natural Gas Fuels, Inc., a Nevada corporation ADDRESS: 31111 Agoura Road, Suite 208 Westlake Village, California 91361 BORROWER: New Earth LNG, LLC, a Delaware limited liability company ADDRESS: 31111 Agoura Road, Suite 208 Westlake Village, California 91361 BORROWER: Arizona LNG, L.L.C., a Nevada limited liablity company ADDRESS: 31111 Agoura Road, Suite 208 Westlake Village, California 91361 BORROWER: Applied LNG Technologies, L.L.C., a Delaware limited liability company ADDRESS: 31111 Agoura Road, Suite 208 Westlake Village, California 91361 BORROWER: Fleet Star, Inc., a Delaware corporation ADDRESS: 31111 Agoura Road, Suite 208 Westlake Village, California 91361 LENDER: FIRST COMMUNITY FINANCIAL, a division of Pacific Western Bank ADDRESS: 4000 North Central Avenue, Suite 100 Phoenix, Arizona 85012

APPLICATION TO ENTER INTO ACCOUNTS RECEIVABLE SECURITY AGREEMENT COMPANY INFORMATION
Accounts Receivable Security Agreement • June 4th, 2001

Do you have any Federal or State taxes past due, including but not limited to withholding taxes? Yes No If yes, has any lien been filed? Yes No Any levies filed? Yes No

ACCOUNTS RECEIVABLE SECURITY AGREEMENT
Accounts Receivable Security Agreement • April 1st, 2003 • Adams Golf Inc • Sporting & athletic goods, nec • Arizona
1 ACCOUNTS RECEIVABLE SECURITY AGREEMENT
Accounts Receivable Security Agreement • October 21st, 1997 • Flexiinternational Software Inc/Ct • Massachusetts
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