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New Credit Application For Parts, Service And Rental/Leasing Accounts

    Name of Firm (“Applicant”)*

    Phone*

    Email*

    Billing Address*

    Ship to Address*

    Tax ID Number*

    Resale?*
    YesNo

    Type of Business*
    CorporationPartnershipProprietorLLC

    Date Established*

    Other businesses owned or affiliated

    THE OWNERS / OFFICERS (ATTACH ADDITIONAL SHEETS AS NECESSARY)

    State Formed*

    Date Formed*
    Date*

    Name*

    Title*

    Social Security*

    Home Address*

    Name*

    Title*

    Social Security*

    Home Address*

    Has Applicant or any Owner or Officer ever filed for bankruptcy?*

    YesNo

    Have you ever had an item repossessed?*

    Are you a defendant in any legal action?*

    Applicant requests a credit account with Peterbilt Truck Parts & Equipment, LLC and Peterbilt of Reno Sparks, LLC dba PeterbiltPaclease of Reno Sparks (collectively “PTPE/PAC”) with a credit limit of $*

    In accordance with the Terms and Conditions set forth in this three (3) page document, which, together with any rental / lease documents into which Applicant may enter with PTPE/PAC constitute a valid and binding contract.

    PAYMENT TERMS

    Special Instructions: We at PTPE/PAC want to be of service to you. If you have any special instructions regarding your purchasing procedures such as the use of purchase orders or specific authorization requirements, please indicate below.

    For the purpose of seeking the extension of credit by PTPE/PAC, Applicant submits the information contained in this document, which includes pages 1-3, and supplemental sheets, if any, as being a full true, and correct statement of Applicant’s credit information and/or my financial condition on all matters as reflected herein, on the date stated. Applicant intends that PTPE/PAC rely upon the information submitted herein in determining Applicant’s creditworthiness. Applicant agrees to notify PTPE/PAC immediately in writing of any change in ownership, addresses, phone numbers, or of any materially unfavorable change in its financial condition. Applicant hereby authorizes PTPE/PAC, now and periodically in the future, to make inquiry into, to request, and to receive any information concerning its character, general reputation, financial stability, and any and all other information (including information from creditors such as, but not limited to, checking applicant’s credit history with credit bureaus and others) that PTPE/PAC deems relevant for determining Applicant’s creditworthiness for the parts and service account or the rental/lease of equipment from PTPE/PAC. Applicant also authorizes and instructs any person, entity and/or consumer reporting agency to compile and furnish any and all information it may have or obtain in response to such inquiries. This authorization shall be effective from the date upon which this application is signed until revoked in writing. Applicant agrees to pay for any and all products, services and/or rentals/leases under its accounts, whether ordered by Applicant or by any person representing himself/herself to be an agent, employee or representative of Applicant. PTPE/PAC reserves complete and unfettered discretion in determining whether, and on what terms, to extend credit to Applicant. PTPE/PAC also reserves complete and unfettered discretion to terminate an extension of credit, to alter the terms of an extension of credit, or to revoke or deny credit without notice and without cause. All invoices are due and payable and must be received by PTPE/PAC by the 10th day of the month following the date of the invoice. Interest on past due balances shall accrue at the rate of 1.5% per month (18% per annum) and shall be applied to the past due balance after deducting current payments and/or credits appearing on the statement. The accrual and/or payment of interest does not authorize the customer to defer payment of any indebtedness beyond the credit terms as stated herein. Applicant agrees to pay all costs, including, but not limited to collection agency fees, attorney’s fees and court costs, that PTPE/PAC incurs in the collection of past due balances. This contract was made and accepted, and shall be deemed to have been performed in the State of Nevada. The proper venue and jurisdiction for any legal action arising from or in any way relating to this contract shall be chosen by PTPE/PAC. A duly signed facsimile transmission or photocopy of the credit application shall be sufficient to bind Applicant to the terms of this contract, and shall have the same force and effect as the original.

    Signature*

    Date*

    Print Name*

    Title*

    Social Security*

    PERSONAL GUARANTEE

    In consideration of PTPE/PAC’s agreement to sell parts/services, rent/lease equipment, and in consideration of all other matters pertinent to doing business with PTPE/PAC, I unconditionally guarantee that I will pay any amount due now or in the future according to the terms and conditions set forth herein and upon PTPE/PAC’s demand. I acknowledge and agree that my obligation hereunder arises irrespective of PTPE/PAC’s efforts, or lack thereof, to pursue Applicant for the amounts due. I understand that I may revoke this Personal Guarantee only by giving written notice to PTPE/PAC and that such revocation will be effective only for credit which PTPE/PAC extends after receipt of such notice. PTPE/PAC need not provide me any notice of sales to Applicant or the status of Applicant’s accounts or any other information in order for this Personal Guarantee to be effective. I hereby acknowledge and accept the duty to keep myself aware of the status of Applicant’s account and of Applicant’s financial condition. A duly signed facsimile or photocopy of this Personal Guarantee shall have the same force and effect as the original.

    Signature*

    Date*

    Print Name*

    Title*

    Social Security*

    CREDIT REFERENCES

    We have credit accounts with the following entities and authorize you to contact them for necessary credit information. (Complete information must be provided for processing of this application.)

    Trucks Financed With:

    Name of Firm (“Applicant”)*

    Phone*

    Fax

    Address*

    Bank Reference (Loans):

    Phone*

    Fax

    Address*

    Trade References (MUST PROVIDE FAX NUMBER):

    Name*

    Phone*

    Fax*

    Account Number*

    Address*

    Name*

    Phone*

    Fax*

    Account Number*

    Address*

    Name*

    Phone*

    Fax*

    Account Number*

    Address*



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    Parts:
    Mon- Fri: 6:30am to 11:30pm
    Sat: 6:30: am- 5:00 pm
    Sun : Closed

    Sales:
    Mon-Fri : 6:30am to 5pm
    Service:
    Mon- Fri: 6:30am to 11:30pm
    Sat: 6:30: am- 5:00 pm
    Sun: Closed

    Body Shop:
    Mon- Fri: 7:00 am – 3:30 pm
    Leasing:
    Mon-Fri: 6:30 am – 11:30 pm
    Sat: 6:30: am - 5:00 pm
    Sun: Closed
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