CREDIT APPLICATION

BILL TO

SHIP TO

BUSINESS INFORMATION

(Please provide copy of sales text certificate)

Trade References




APPLICANT'S SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO PAY OUR INVOICES IN ACCORDANCE WITH THE FOLLOWING TERMS: ***NET 30****

Terms and Conditions

All payments are to be made to KURZ Transfer Products and directed to:
P.O. BOX 63182
Charlotte, NC 28263
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APPLICATION FOR CREDIT:

FINANCIAL DATA:
The following information represents the financial standing and business operation upon which KURZ TRANSFER PRODUCTS will rely for the purpose of establishing our line of credit.

EQUITY

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RESALE CERTIFICATE

US federal state laws require sellers to obtain a Certificate of Resale from their customers, confirming that the merchandise purchase from Kurz Transfer Products LP is to be resold in the form of tangible property. Therefore we require you to submit a Resale Certificate. Kurz Transfer Products LP is required to charge the appropriate sales tax amount for customers, who do not provide a Resale Certificate. To avoid sales tax charges, please submit a of your company's Resale Certificate.

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