Southland Floors Inc.

CREDIT PROCEDURES

If you would like to establish an account with Southland Floors Inc., we have developed the following procedures. We have three ways of establishing an account, please indicate the type of account you wish to open:

CASH OR CASHIERS CHECK ONLY

  • Complete the first section of the attached credit application (i.e. Name of Company/Individual, Trade Name, Address, City, Phone No., State and Zip).
  • Sales Tax – If you are tax exempt and DO NOT wish to pay sales tax, please provide a copy of your Certificate of Resale. If the Certificate of Resale is not attached to the credit application, sales tax will be charged.

C.O.D. COMPANY CHECK

  • Complete page one and provide the banking information requested on page two.
  • Sign and complete the “Bank Release Information Form”.
  • Sales Tax – If you are tax exempt and DO NOT wish to pay sales tax, please provide a copy of your Certificate of Resale. If the Certificate of Resale is not attached to the credit application, sales tax will be charged.
  • Sign the terms and condition of the credit application on the last page.

OPEN LINE OF CREDIT

  • Complete the attached credit application; include four trade references and the monthly credit limit desired.
  • Sign and complete the “Bank Release Information Form”.
  • Sales Tax – If you are tax exempt and DO NOT wish to pay sales tax, please copy, fill out and sign your Blanket Certificate of Resale. If the Certificate of Resale is not attached to the credit application, sales tax will be charged.
  • Submit a recent Financial Statement.
  • Sign the Terms of Credit and Personal Guaranty on the last page.

If you elect to have a COD Company Check or Open Line of credit account, please allow 3-4 weeks to process the application. If you have an immediate need for an order you have pending, we will be glad to take the information over the phone or you can fax the credit application. It will still be necessary for you to submit the original application. NOTE: We also accept Visa/MasterCard.

It is our policy to require a fifty percent (50%) deposit prior to ordering any special order material, be sure to consider this information when placing your order.

We are looking forward to a prosperous business relationship and if you should have any questions, please feel free to contact the Credit Department.

Company

Name:______Signature:______

Date:______

2701 Northwest 17th Lane Pompano Beach, Florida33064-1561

Pompano: (954) 974-4700WATS: 800-432-4520FAX: (954) 973-6333

APPLICATION FOR CREDIT UPON WHICH SOUTHLAND FLOORS, INC.

RELIES FOR THE EXTENSION OF CREDIT

DATE: ______

NAME OF COMPANY/INDIVIDUAL: ______

TRADE NAME: ______

ADDRESS: ______CITY: ______

PHONE # : ______STATE: ______ZIP: ______

TYPE OF BUSINESS: ______

YEAR STARTED IN THIS BUSINESS: ______MONTHLY CREDIT DESIRED $: ______

ARE YOU FLORIDA TAX EXEMPT? YES: ______NO: ______D & B # IF LISTED: ______

NOTE: A RECENT FINANCIAL STATEMENT MUST BE SUBMITTED WITH THIS APPLICATION.

IF THE BUSINESS IS A SOLE PROPRIETORSHIP, PLEASE LIST THE OWNER.

IF THE BUSINESS IS A PARTNERSHIP, PLEASE LIST ALL PARTNERS.

NAME: ______SOCIAL SECURITY # : ______

HOME ADDRESS: ______

PHONE # : ______STATE: ______ZIP: ______

DRIVERS LICENSE NUMBER: ______

NAME: ______SOCIAL SECURITY # : ______

HOME ADDRESS: ______

PHONE # : ______STATE: ______ZIP: ______

DRIVERS LICENSE NUMBER: ______

IF THE BUSINESS IS A CORPORATION, PLEASE LIST THE OFFICERS AND REGISTERED AGENTS.

CHARTER NUMBER: ______CORPORATE NAME: ______

REGISTERED AGENT’S NAMED: ______SOCIAL SECURITY # : ______

REGISTER’S OFFICE ADDRESS: ______

CITY: ______STATE: ______ZIP: ______

PRESIDENT’S NAME: ______SOCIAL SECURITY # :______

HOME ADDRESS: ______HOME PHONE# : ______

CITY: ______STATE: ______ZIP: ______

SECRETARY’S NAME: ______SOCIAL SECURITY# : ______

HOME ADDRESS: ______HOME PHONE# : ______

CITY: ______STATE: ______ZIP: ______

TREASURER’S NAME: ______SOCIAL SECURITY# :______

HOME ADDRESS: ______HOME PHONE# : ______

CITY: ______STATE: ______ZIP: ______

BANKING INFORMATION

TYPE OF ACCOUNT (S):CHECKINGSAVINGSLOAN (S)

BANK NAME: ______PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

TYPE OF ACCOUNT (S):CHECKINGSAVINGSLOAN (S)

BANK NAME: ______PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

TRADE INFORMATION

PLEASE NOTE: LIST ONLY THOSE COMPANIES THAT SELL TO YOUR FIRM ON OPEN ACCOUNT

  1. NAME:PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

  1. NAME: ______PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

  1. NAME: ______PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

  1. NAME: ______PHONE # : ______

ADDRESS: ______CITY: ______

STATE: ______ZIP: ______ACCT. # : ______

TERMS OF CREDIT

  1. Payment for all purchases are due according to invoice terms.
  1. Delinquent accounts are subject to a service charge of 1.5% per month from due date, plus all costs of collection, to include reasonable attorney’s fees and court costs, whether suit be brought or not, including an attorney’s fee on appeal. The Applicant hereby waives his privilege of being sued in the county of their residence, and agrees that if suit is brought, the venue will be in Broward County, Florida at the option of Southland Floors Inc.
  1. The applicant agrees to notify Southland Floors Inc., by registered mail, immediately upon any change in form of business, change of ownership, officers and /or persons authorized to sign checks, and agrees to continue liability for any purchases until such notice is duly received by Southland Floors Inc.

BY SIGNATURE HERETO, APPLICANT AGREES TO ABOVE TERMS

DATESIGNATURETITLE

DATESIGNATURETITLE

PERSONAL GUARANTEE

This GUARANTY is given by the undersigned to SOUTHLAND FLOORS, INC., in order to induce and extend credit to, or otherwise become the creditor of; the above named sole proprietorship, partnership or corporation.

I HEREBY GUARANTY TO SOUTHLAND FLOOR, INC. the prompt payment, in accordance with the terms of credit, of every claim of SOUTHLAND FLOORS, INC., against the above named sole proprietorship, partnership or corporation. This is a continuing Guaranty and shall remain in force until revoked with the written consent of SOUTHLAND FLOOR, INC. This obligation shall cover the renewal of any claims guaranteed by this affected, by any surrender or release by SOUTHLAND FLOORS, INC., of any security held by it for any claim hereby guaranteed.

The undersigned additionally guarantees the payment of interest at maximum lawful rate on all monies outstanding to SOUTHLAND FLOOR, INC., by the above named sole proprietorship, partnership or corporation together with costs and reasonable attorney’s fees whether suit be brought or not and any attorney’s fee on appeal, which SOUTHLAND FLOORS, INC., may incur in the collection of any claims.

IN WITNESS WHEREOF, I /We have signed, sealed and delivered this Guaranty for the purposes set forth above on the day of 200

WitnessPrincipals

by by

SignatureSignature

by by

SignatureSignature

BANK RELEASE INFORMATION FORM

BANK NAME: DATE:

ADDRESS: CHECKING ACCOUNT NUMBER

CUSTOMER NAME AND ADDRESS

I,

AUTHORIZE YOU TO RELEASE MY

CREDIT INFORMATION REQUIRED

BY SOUTHLAND FLOORS, INC.

GENTLEMEN:

THE ABOVE ENTITLED ACCOUNT HAS GIVEN US YOUR NAME AS A REFERENCE. WHATEVER INFORMATION YOU MAY GIVE US WILL BE APPRECIATED AND WILL BE TREATED AS CONFIDENTIAL.

DATE ACCT. OPENED: AVERAGE BALANCE:

ACCOUNT MAINTAINED:

SATISFACTORILY: CHECKS RETURNED:

UNSATISFACTORILY: OVERDRAFT:

LINE OF CREDIT: PAYMENT RECORD:

BANK OPINION:

THANK YOU,

CREDIT DEPT.

SOUTHLAND FLOORS, INC.

2701 Northwest 17th Lane Pompano Beach, Florida33064-1561

Pompano: (954) 974-4700WATS: 800-432-4520FAX: (954) 973-6333