NK HYDRAULIC PARTS, INC.

6942 South 196th, Kent, Washington 98032, (253) 395-0277,Fax: (253) 395-0557

 

 

 

AUTHORIZATION TO RELEASE INFORMATION

 

I hereby authorize our bank(s) to release any information necessary to assist in establishing a line of credit.

 

Firm Name:                                                                                                                          

Address:                                                                                                                              

 

Authorized By:                                                       Title:                                                        

 

Personal Guaranty:

 

In consideration of NK Hydraulic Parts, Inc. (NK) considering this credit application and accepting and performing work or making sales for/to us, the undersigned person personally guarantees timely payment of all sums due, including collection costs and attorney fees, as a result of said work sales. It is further agreed that any suit shall at NK’s option be brought in the Superior Court of King County Washington, at Seattle, WA, USA.

 

                                                                           X                                                               -

(Date)                                                                  Individually

                                                  (No titles on signature line.)

 

 

 

 

 

NK HYDRAULIC PARTS, INC.        Date:                          

6942 South 196th

Kent, WA 98032

(253) 395-0277

Fax: (253) 395-0557                

CREDIT APPLICATION

 

Firm Name: _____________________________________________________________________________

Bill to address: __________________________________________    

City: __________________________ State: _____________ Zip:____________Phone:________________

Form of Organization:     ____ Corporation              Partnership       _____ Individual

How long in business: ___________     How long at present address: ______________

Ship to address: ____________________________________________________E-Mail address:___________________

City:                                        State:                         Zip: _________________________

Type of business:                                                                                                                                        

Name of Accounts Payables:                                                                      

Amount of credit line requested:                                      

Credit References:

1.         Name:                                                                           Phone #:                                                    

Address:                                                                                  Fax #:                                                         

2.         Name:                                                                           Phone #:                                                     

Address:                                                                                  Fax #:                                                         

3.         Name:                                                                           Phone #:                                                    

Address:                                                                                  Fax #:                                                         

4.         Name:                                                                           Phone #:                                                    

Address:                                                                                  Fax #:                                                         


Bank References:

           Name                                           Address                              Person whom you do business with

1.      _____________________________________________________________________________________      Account #:                                                Phone #: _______________________

Principals of Firm:

Name: ________________________________________ Address:                                                                       

Position: ______________________________________ Phone#:                                                                       

Notice:

All work done by NK Hydraulic Parts, Inc. and all materials sold shall be on a C.O.D. basis unless Customer has an approved credit application on file with us. Terms of credit will be Net 30 Days, with interest accruing at the rate of 18% per annum (1.5% monthly). Customer agrees to pay all collection cost, including a reasonable attorney fee if customer should default on timely payment. All claims, requests for adjustments or notification of errors must be made within thirty days or charges are considered accepted. Credit privileges may be withdrawn at any time without invalidating the terms of this agreement. Any suit brought as a result of work done and sales made to Customer shall be brought in the Superior Court of King County Washington at Seattle, Washington USA.

CREDIT CANNOT BE EXTENDED UNTIL THIS FORM IS COMPLETED AND VERIFIED!

                                                     

APPROVED _________________________

DATE ______________________________
 
                                                     

                                                      ________________________________

SIGNATURE                                    DATE

                                       

 

 

6942 South 196th

Kent, Wa 98032

Phone: (253) 872-8900

Fax: (253) 395-3216
 

 

                                                 

         

                                               


 

RESALE CERTIFICATE

 

Name of Buyer/Business________________________________________________________

Address of Buyer _______________________________________________________________

                                         Street                                                 City, State                                                  Zip

 

Buyer’s UBI/ Revenue Registration Number _____________________________________________________________________________

Buyer is in the business of________________________________________________________

Types of items purchased for resale ________________________________________________

_____________________________________________________________________________

 

I (the Buyer) certify that I am purchasing the items listed on line 6 (please check appropriate box):

 

q     for resale in the regular course of business without intervening use

in the regular course of business,

 

q       for use as an ingredient or component part of a new article of tangible personal property to be produced for sale,

 

q       as a chemical to be used in processing a new article of tangible personal property to be produced for sale, or

 

q       for use as feed, seed, seedlings, fertilizer, or Spray materials in my capacity as farmer.

 

I acknowledge that I am solely responsible for purchasing within the categories listed on line 6. I acknowledge that misuse of the resale privilege claimed by use of this certificate subjects me to a penalty of 50 percent of the tax due, in addition to the tax, interest, and any other penalties imposed by law.

 

Print Name: ____________________________________________________________________

Name of Person Authorized to Use Resale Certificate

 

Signature: _____________________________________________________________________

Signature of person Authorized to use Resale Certificate

 

Effective Date: _____________________________   Through: ____________________________

                                                                                                                              (Not to Exceed 4 Years)