Auto Plus Credit Application

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Application Account Type:

AutoPlus_ AUTO rARTS for Credit B"" Monthly □ Weekly □ Cash


For 0 ~ use_. please 00 Account Salesperson: Type of Business: Store Number: Account#:
not wnte in this area.
We hereby request that IEH Auto Parts LLC (dba Auto Plus) extend credit prtvileges to our company for the purpose of purchasing goods
and/or services from Auto Plus and certify that the information provided below is correct. We agree to meet the terms and conditions set forth
below if approved by Auto Plus.
Exact Legal Name: _ ~ \.)t)~ 'o v ~-\-~<S _LL C.., __________ Sales Tax Exempt?* U Yes ~o
This company is a: D Corporation D Partnership D Proprietorship -~
ld"LLC, lncorp. r7i s.~.!';,.
. h~cole_m__pleted-
1____lfY_E__ -""'-"'"'° 1

DBA/AKA: \_u b<., bvs 1-ers (Hereinafter referred to as "Purchaser")

Address: 2 0 \ \om t\o.\\ S+ S'-4-~ \ SS~


City: ~,,.--\- ~ , \\ State: s;c_ Zip: 29TI~
Phone: 9_80-30<o- \lo3~ ____ Fax: E-Mail: I.Sr0\el€5 lvbcbu s+-er.s. c..~ rr-.
How long in business: // rn on fh FederallD Number: 83-2.t3W 13
Purchase Order required: te'Yes □ No Credit Line Requested: $ .6I 0 00
Trade References: Please include your highest monthly credit references.

1. Name: j()f"~ 1-\tc\.nc. Phone: 'ei::,'J-5'18-2310_City: tb,+ f-11 I) State: Sc....


2. Name: ~ , \L-. rrCAs Phone: ~-3.:;2-5'30c/ City: _;R:.....=oc¥
=--.-+ i .-'
.:. . .;/___, I]' ---- State: SC
3. Name: ,~vlo~ fntt,frise,lnc. Phone: ~liJ</--S:,3-'198 City: S-p:-;r+()!.nbv3 State: 5c_
Bank Name: fun~ of Amer.a:. Acct. No.: 23_l<B_m 'N20 Phone: _7.L..:o=:....'I.L-__,3""--'-'{L-/-___,q'--=s
:.__l#
__;_I_ _ __ _
BankContactNarne: Lctvn:~.. For1Sc~ Fax#:

lorn 0he_~1'eld ISYQ.e\ A\e:°'nbr~


1
Person(s) authorized to sign for goods: ~na.n 0 Ri,\l7
Name of Accounts Payable Person: 1\-sh~ Lov v~rr-.e_
Name of Owner(s), Partners and Corporate Officers (use additional sheet If required).

Name: \sroe\ J\\c..C\f"'lf-a~ Title: Owf'l--e.r


Horne Address: ~3:__R_e:~f~\ M6.f\C>r ~ City: "ttv+ ~t, I\ State: ~C.. Zip: ~9"::1-1~
D Rent % ownership 50 Phone: Cf ao-3o&- lb3ol-
Name: TbrO Sh-ef+1e'e\d Title: a~ 'f\~

Home Address: ~lo \L.oJ\ ~r~cno 12.d City: ~ Hi fI State: ~(_ Zip: :2'9 1°-3.S-
D Rent % ownership 5D Phone:

* Please include current financial statements when applying for credit *


The undersigned agrees to the following TERMS and CONDITIONS: The undersigned, in consideration of Auto Plus extending credit to Purchaser, does hereby
UNCONDITIONALLY agree to pay to Auto Plus, in full, the amount indicated in each invoice submitted by Auto Plus to Purchaser in accordance with the terms
provided in each such invoice, as well as collection and legal fees, should Auto Plus refer the account to a collection agency or attorney for collectlon. It is further
agreed that a past due charge may suspend credit sales and a 1.5% monthly service charge (APR 18%) will be added to any overdue amount. Payments shall be
credited first to the accrued interest and then to the account balance. Purchaser agrees to report all short shipments to Auto Plus within 48 hours after receipt or goods
and not to return any goods to Auto Plus without prior written authorization from Auto Plus. The undersigned hereby authorizes release to Auto Plus of any and all
information concerning checking accounts, savings accounts and information on all other credit matters that may be relevant to this application and agree that Auto
Plus may verify this Information from time to time and obtain credit bureau reports. Auto Plus reserves the right to terminate or modify tenns of credit without further
notice. This agreement shall be governed by the internal laws of the Stale of New York. (Form must be signed)

Signature: Date: \Q- 14-1 C\


Printed:
PERSONAL GUARANTEE
To induce Auto Plus lo extend a-edit from time lo time lo the Purchaser, the undersigned (the "Guarantors; do hereby jointly and severely guarantee full payment of aft
indebtedness now owing or to become owing lo Auto F\Js by the Purchaser.
If the Plrchaser fais to make payment when due, all amounts owed by Purchaser to Auto Plus shall become due and payable by the Guarantors upon demand for payment.
Auto Plus has no obligatioo to proceed first against the Purchaser to collateralize any indebtedness, to preserve any staMory ~en rights, or to exhaust any remedy before
seeking payment from the Guarantors. This guaranty is an absolute and unconditional obligation of the Guarantors and shall nor be affected by any waiver or forbearance
which Auto Plus may extend to the Purchaser YAlether demand is made at maturity or on extensions or renewals thereof. The Guarantors waive (1 ) all notices of the
execution of aTf'f note or renewal thereof; (2) al notices of and the adv.n:e of credit regardless of the fonn thereof; (3) notice ci non payment when due, Vtflelhef at maturity
or on extensions Of reretrcis of aTf'f ildebtedness; (4) notice of renewals or extensions of any indebtedness; (5) all notices of changes in form of indebtedness; (6) all
m
demands for payment and presentatioos for payment; and notices of intention to accelerate maturity, protests, and notices of protest.
I fYve) hereby authorize release to AJJt.o Plus of any and all iroormation concerning employment, checking accounts, savings accounts and information on all other credit
matters that may be relevant to this guaranty and agree that Auto Plus may verify this information from time to time and obtain credit bureau reports.

Ur1ess the Guarantors provide 'Mttten notice to Auto Plus at 1155 Roberts Blvd Ste 175, Kennesaw, GA 30144 of a change of address, any notice to be given the
Guarantors wl be suffrient if maJed to the address shown below.

Guarantor - Printed Name

~-5~~
Guarantor - Signature Guarantor - Signature

}58<, /Lc....1/A.ra.rno tcJ


Home address Home address

'R.oc.lc- f-1;/} SC. 2q-=,-3~


City, State, Zip Code City, State, Zip Code

9e>o- 3ota- \(o3:L C}So- 3o«a- 188 Co


Home phone Home phone

54;).- GJL/- Jorr


Social Security Number Social Security Number

SC.
Drivers License Number State Drivers License Number State

I
For offire use, only. I Account Numbec
Auto Plus~ AUTO PARTS

OFFICERS AND SHAREHOLDERS CONFIRMATION

In order to establish or maintain our credit with you, we, the undersigned, hereby certify that the
following persons are officers and shareholders of L\l \?e.\o'-'S te<S LL-C-

OFFICERS

NAME TITLE

lSrCAe.\ ft\ C:C.v"'lt-0\.r"'-.


=-, ;~ S /14, ft-,ekl

SHAREHOLDERS

NAME % OF PARTICIPATION OR
NUMBER OF SHARES HELD

Dated this _/_lj__ day of __


Oc._tt>_he_r_ ___, 20fl_.

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