AGREEMENT FOR SERVICES & CREDITAgreement for Services & Credit • August 22nd, 2007 • California
CUSTOMER IDENTIFICATION CUSTOMER NAME: CORPORATION PARTNERSHIP SOLEPROPRIETORSHIP LIMITED LIABILITY CO STATE OFORIGIN STREET ADDRESS: P.O. BOX: CITY: STATE: ZIP: TELEPHONE: FAX: TYPE OF BUSINESS: NO. OF YEARS INBUSINESS: NAME OF PREDECESSOR BUSINESSES: PERSON TO CONTACT REGARDINGINVOICES: PHONE: FEDERAL TAX ID#: SALES TAX EXEMPT #: (PLEASE ATTACH COPY OF FORM) PARENT COMPANY: CITY: STATE: ZIP: TELEPHONE: FAX: INFORMATION ON PRINCIPALS FOR PROPRIETORSHIP OR PARTNERSHIP: LIST ALL OWNERS AND/OR PARTNERS. FOR CORPORATION OR LIMITED LIABILITY COMPANY: LIST ALL OFFICERS, DIRECTORS, MEMBERS AND MAJORITY STOCKHOLDERS. NAME: HOME ADDRESS: PHONE: SOCIAL SEC. NO. POSITION: HAVE ANY OF THE COMPANIES OR INDIVIDUALS LISTED ABOVE EVER BEEN A DEBTOR IN A BANKRUPTCY PROCEEDING? HAS ANY JUDGMENT EVER BEEN ENTERED AGAINST ANY OF THE COMPANIES OR INDIVIDUALS LISTED ABOVE? ARE THERE LEGAL ACTI
AGREEMENT FOR SERVICES & CREDITAgreement for Services & Credit • May 17th, 2013 • California
CUSTOMER IDENTIFICATION CUSTOMER NAME: CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP LIMITED LIABILITY CO STATE OFORIGIN STREET ADDRESS: P.O.BOX: CITY: STATE: ZIP: TELEPHONE: FAX: EMAIL: TYPE OF BUSINESS: NO. OF YEARS IN BUSINESS: NAME OF PREDECESSOR BUSINESSES: PERSON TO CONTACT REGARDINGINVOICES: PHONE: FEDERAL TAX ID#: SALES TAX EXEMPT #: (PLEASE ATTACH COPY OF FORM) PARENT COMPANY: ADDRESS: CITY: STATE: ZIP: TELEPHONE: FAX: INFORMATION ON PRINCIPALS FOR PROPRIETORSHIP OR PARTNERSHIP: LIST ALL OWNERS AND/OR PARTNERS. FOR CORPORATION OR LIMITED LIABILITY COMPANY: LIST ALL OFFICERS, DIRECTORS, MEMBERS AND MAJORITY STOCKHOLDERS. NAME: POSITION: HAVE ANY OF THE COMPANIES OR INDIVIDUALS LISTED ABOVE EVER BEEN A DEBTOR IN A BANKRUPTCY PROCEEDING? Yes No HAS ANY JUDGMENT EVER BEEN ENTERED AGAINST ANY OF THE COMPANIES OR INDIVIDUALS LISTED ABOVE? Yes No ARE THERE LEGAL ACTIONS OR ARBITRATIONS PENDING AGAINST ANY
