Credit Application

Personal Guaranty

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Credit Application
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Company Information

Company Address
Company Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country

Owner(s) Information

Address of Owner (1)
Address of Owner (1)
City
State/Province
Zip/Postal
Country
Address of Owner (2)
Address of Owner (2)
City
State/Province
Zip/Postal
Country

Trade Reference 1

Address
Address
City
State/Province
Zip/Postal
Country

Trade Reference 2

Address
Address
City
State/Province
Zip/Postal
Country

Trade Reference 3

Address
Address
City
State/Province
Zip/Postal
Country

Banking Information

Agreement

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT. THIS INFORMATION WILL BE USED ONLY FOR OPENING AN ACCOUNT WITH COSTA VERDE IMPORTS, INC. IF CREDIT IS APPROVED, APPLICANT AGREES TO BE RESPONSIBLE FOR ALL PURCHASES FROM FB IMPORTS, LLC D/B/A COSTA VERDE IMPORTS., AND AGREES TO PAY IN ACCORDANCE WITH THE TERMS OF CREDIT. APPLICANT AGREES TO PAY ALL LEGAL FEES AND FINANCE CHARGES ASSOCIATED WITH COLLECTION OF APPLICANT’S ACCOUNT. ANY LEGAL ACTION OR COLLECTION PROCESS SHALL BE GOVERNED UNDER THE LAWS OF FLORIDA.
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