New Account Application Habey USA

User Manual: HabeyUSA-New-Account-Application

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HABEY USA INC

Company Information

Company Name__________________________________DBA: ________________________________

Billing Address:_______________________________________________________________________

Shipping Address:_____________________________________________________________________

Phone:_______________________Fax:_______________________E-mail:_______________________

Accounts Payable Contact:_________________________

Type of Ownership:______________________________Federal Tax ID:__________________________

Years in Business:_______________________________State Tax ID:__________________________

Information of Principals, Offices or Partners

Name:_____________________________Title:_____________________SSN:____________________

Trade Reference

1. Name:____________________________________Phone:_______________Fax:_______________

Contact:_____________________Address:______________________________________________

2. Name:____________________________________Phone:_______________Fax:_______________

Contact:_____________________Address:______________________________________________

3. Name:____________________________________Phone:_______________Fax:_______________

Contact:_____________________Address:______________________________________________

Bank Reference

Name:______________________________Phone:_________________Contact:___________________

Account#1:________________________________Account#2:__________________________________

IN MAKING THIS APPLICATION FOR CREDIT, THE UNDERSIGNED HEREBY GUARANTEE THE PAYMENT OF ALL THEIR

COMPANY’S OBLIGATION TO HABEY USA OF ALL AMOUNTS DUE AND OWING. APPLICATION’S SIGNATURE ATTESTS

FINANCIAL RESPONSIBILITY TO PAY INVOICES IN ACCORDANCE WITH THE AGREED UPON TERMS. THE APPLICANT

AGREES TO PAY ALL SERVICE CHARGES, REASONABLE ATTORNEY AND COURT FEES, INCURRED IN THE COLLECTION

OF THEIR PAST DUE ACCOUNT.

I/WE HEREBY AUTHORIZE HABEY USA TO INVESTIGATE THE REFERENCES PERTAINING TO MY/OUR CREDIT AND

FINANCIAL RESPONSIBILITY.

Officer’s Signature:_________________________________Date:_______________________________

Print Name:_______________________________________Title:_______________________________

Please fax this form back to 888-313-8698 together with your reseller certificate. For application of NET term

account, please complete the next two pages as well.

HABEY USA, 21015 Commerce Pointe Drive, Walnut, CA 91789, USA Tel: (909) 594-7600 Web: www.habeyusa.com

New Account Application

HABEY USA INC

Authorization to Release Credit Information

To:

Bank Name________________________Regarding (Company Name): __________________________

Bank Contact Name___________________________________________________________________

Bank Address:________________________________________________________________________

Phone:_______________________Fax:_______________________

Checking Account Number:_________________________________

Loan Number:_________________________Loan Number:____________________________________

____________________________________(Company Name), hereby authorizes the bank to release

credit information on our account to HABEY USA. We are presently in the process of establishing credit

with them. Please provide all necessary information and return directly to HABEY USA to expedite our

credit application.

Officer’s Signature:_________________________________Date:_______________________________

Print Name:_______________________________________Title:_______________________________

Name:______________________________Phone:_________________Contact:___________________

Checking Account#:___________________________Date Opened:_____________________________

Average Bal:_________________________________Current Bal:______________________________

Saving Account#:_____________________________Date Opened:_____________________________

Average Bal:_________________________________Current Bal:______________________________

# of Return Check(s) N.S.F:___________ # of Stopped Payment:______________Others: ___________

Loan Number:__________________________High Credit:____________________________________

Terms:________________________________Current Bal:____________________________________

Comments:__________________________________________________________________________

Prepared by (Signature):______________________________Date:_____________________________

Print Name:_______________________________________Title:_______________________________

Please fax this form back to: 888-313-8698

Bank USE ONLY

HABEY USA, 21015 Commerce Pointe Drive, Walnut, CA 91789, USA Tel: (909) 594-7600 Web: www.habeyusa.com

Continuing Personal Guarantee

For valuable consideration, and/or for products and services sold on credit, both before and after

the date of this Guarantee to ______________________________________(referred to as the "Buyer") by

HABEY USA ("HABEY USA"), the undersigned unconditionally guarantees to HABEY USA, its

successors and assigns, the prompt payment, observance, and performance when due of any and all

obligations and indebtedness now or hereafter existing (collectively, "Guaranteed Obligations"), regardless

of any invalidity or unenforceability thereof. The undersigned further agrees to pay HABEY USA all

attorneys' fees and expenses incurred by HABEY USA by reason of any default by the Buyer under any

agreement relating to Guaranteed Obligations and/or to enforce its right against the undersigned under the

terms of this Guarantee.

The undersigned waives any claim or other right which the undersigned might now have or

hereafter acquire against the Buyer or any person that is primarily or contingently liable on the obligations

guaranteed hereby or that arises from the existence or performance of the undersigned's obligations under

the Guarantee, including, without limitation, any right of subrogation, reimbursement, exoneration,

contribution, indemnification, or participation in any claim or remedy of HABEY USA against the Buyer

or any collateral security therefore which HABEY USA now has or hereafter acquires; whether or not such

claim, remedy, or right arises in equity, or under contract, statute, or common law.

The undersigned waives notice of acceptance hereof and all other notices or demands of any kind

to which it may be entitled and consents that HABEY USA may, without affecting the undersigned's

liability under this Guarantee, compromise or release, in terms satisfactory to it or by operation of law or

otherwise, any rights against Buyer and other obligors and guarantors; and grant extensions of time of

payment to Buyer.

Upon any default by the Buyer in the payment and performance of its obligations under the

agreement with HABEY USA, the liabilities and obligations of the undersigned hereunder shall, at the

option of HABEY USA, become forthwith due and payable to HABEY USA without demand or notice of

nay nature, all of which are expressly waived by the undersigned.

This is a continuing guarantee and shall not be discharged or affected by death of the undersigned,

shall bind the heirs, administrators, representatives, successors and assigns of the undersigned, and may be

enforced by or for the benefit of, any assignee or successor of HABEY USA to the same extent as HABEY

USA may, itself, enforce it.

The liability of the undersigned hereunder is direct and unconditional. If there is more than one

undersigned, then the liability of the undersigned hereunder shall be joint and several. The undersigned

further authorizes HABEY USA to conduct a consumer credit check of the Guarantor.

This Guarantee is executed as an instrument under seal, and all acts and transactions hereunder,

and the rights and obligations of the parties hereto shall be governed, construed and interpreted according

to the laws of the State of California. Guarantor shall submit to the exclusive jurisdiction in the state of

California in the event of any judicial action.

IN WITNESS WHEREOF, the guarantor has executed this Guarantee _______day of _________, 20____.

Guarantor: _________________________________ ___________________________________

Print Name Signature

Residence Address: ________________________________________________________________

Residence Phone No.

Social Security No. ________________________________________________________________

_____________________________________________________

BOE-230 (7-02) STATE OF CALIFORNIA

GENERAL RESALE CERTIFICATE BOARD OF EQUALIZATION

California Resale Certificate

I HEREBY CERTIFY:

1. I hold valid seller’s permit number:

2. I am engaged in the business of selling the following type of tangible personal property:

3. This certificate is for the purchase from of the item(s) I have

listed in paragraph 5 below.

4. I will resell the item(s) listed in paragraph 5, which I am purchasing under this resale certificate in the form of

tangible personal property in the regular course of my business operations, and I will do so prior to making any

use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of

my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as

just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.

5. Description of property to be purchased for resale:

6. I have read and understand the following:

For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section

6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any

use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale

certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate

for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been

due, plus a penalty of 10 percent of the tax or $500, whichever is more.

NAME OF PURCHASER

SIGNATURE OF PURCHASER, PURCHASER’S EMPLOYEE OR AUTHORIZED REPRESENTATIVE

PRINTED NAME OF PERSON SIGNING TITLE

ADDRESS OF PURCHASER

TELEPHONE NUMBER

( )

DATE

HABEY USA INC

____________________________________________________________________________________

New Account Application Habey USA

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