IBM Global Financing - Max Group

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IBM Global Financing

U.S. -- COMMERCIAL FINANCING APPLICATION Please print or type legibly. AN INCOMPLETE FORM WILL DELAY PROCESSING

LEGAL NAME of applicant Business: (Use exact legal name in articles of incorporation/organization; partnerships use exact legal name in partnership agreement) Other name(s) business known as:

Telephone No.: Business is a (mark one):

FAX No.: ( ) Corporation ( ) Partnership ( ) Proprietorship ( ) Business Trust ( ) Limited Liability ( ) Sub Chapter "S" ( ) other ___________________________

Date Started or Acquired: Credit Line Requested:

Store/Customer/Franchise No.: Plan Type: ( ) Scheduled Payment ( ) Extended Scheduled Payment ( ) Flexible Payment Financing Options: ( ) Large Sale Financing

Projected total financing volume: ___________________________________________________________________

Principal/ Other Locations (List all locations including principal/HQ location/sales offices/warehouses/foreign locations) Principal / HQ

Location 2

Location 3

Street City County State, Zip Country Inventory Location? Own/Rent (If more than three attach list of additional locations)

Attach a listing of landlord name, address and telephone number for all business locations in the following states: AL, AZ, DC, DE, FL, GA, IA, KY, LA, MD, MS, NC, NJ, NM, OR, PA, SC, TX, VA, WA, WV

AFFILIATES / SUBSIDIARIES (List all affiliates and subsidiaries, including those located or doing business outside the U. S.)* Name

City/ State

Nature of Business

Relationship to Applicant

1. 2. 3. * (If more than three, attach explanation of corporate structure)

IBM Global Financing Commercial Financing Application

Page 1 of 4

IBM Global Financing offerings are provided through IBM Credit Corporation in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

BANKING RELATIONSHIPS

-1-

-2-

Bank Address Telephone Account # Contact

LARGEST CREDITORS & TRADE REFERENCES (List your four largest creditors including flooring companies, excluding the banks above) Name Address Telephone Account # Contact Name ********************************************************************************************************

CORPORATIONS ONLY State of Incorporation:

Date Incorporated:

Federal Tax No:

[ ] One officer only

Officers

Name

Home Telephone

President Vice President Treasurer Secretary Other

IBM Global Financing Commercial Financing Application

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IBM Global Financing offerings are provided through IBM Credit Corporation in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

CORPORATIONS ONLY (continued) Stockholder 1 Stockholders*

Stockholder 2

Stockholder 3

Stockholder 4

Name % Owned Social Security # Home Address City, State & Zip Code Home Telephone List any Joint Owners * List only those stockholders who own ten percent (10%) or more of the outstanding shares. Each stockholder who owns 10% or more of the outstanding shares of the business authorizes IBM Credit Corporation, by signing below, to investigate its personal credit history and obtain credit bureau reports from time to time at IBM Credit Corporation’s sole discretion. Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________

PARTNERSHIPS ONLY Partner 1

Partner 2

Partner 3

Name % Owned Social Security Number Home Address City, State, Zip Code Home Telephone Spouse ’s Name Spouse ’s S.S. # If this is a Limited Partnership, who is the general partner?

IBM Global Financing Commercial Financing Application

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IBM Global Financing offerings are provided through IBM Credit Corporation in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

IBM Global Financing COMMERCIAL FINANCING APPLICATION SOLE PROPRIETORSHIPS ONLY Owner

Spouse

Bank Account

Name Social Security # Account # Address City, State/Zip Telephone **************************************************************************************** Which individuals are involved in the day-to-day operations? _______________________________________ Who is your current accounts payable contact? ___________________________________________________ Who is your purchasing contact? ______________________________________________________________ The undersigned hereby warrants that all of the above information is true and correct in every aspect. The undersigned further hereby warrants that the attached financial statements accurately represent in every respect, the true and correct financial condition of the business entity that is the subject of this application. The undersigned agrees that if IBM Credit Corporation determines that any of the information is false or misleading, this will constitute reasonable and valid grounds for revoking all present and future financing and declaring all sums outstanding immediately due and payable. The undersigned hereby authorizes IBM Credit Corporation to gather and use, from time to time, without the undersigned’s knowledge, any and all financial and/or credit information relating to the business entity that is the subject of this application that can be obtained from any source whatsoever including, but not limited to, banks, trade associates and creditors. The undersigned also hereby authorizes IBM Credit Corporation to investigate the personal credit history of the undersigned and obtain credit bureau reports on the undersigned from time to time at IBM Credit Corporation’s sole discretion.

Signature: _________________________________________________________________________________ Date: _____________________________________________________________________________________ IBM Global Financing 5000 Executive Parkway Suite 450 San Ramon, CA 94583 (800) 627-9600

IBM Global Financing 2707 W. Butterfield Road Suite 205 Oak Brook, IL 60521 (800) 753-7053

IBM Global Financing Commercial Financing Application

IBM Global Financing 1500 River Edge Parkway Atlanta, GA 30328 (800) 678-6900

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IBM Global Financing offerings are provided through IBM Credit Corporation in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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IBM Global Financing - Max Group

IBM Global Financing U.S. -- COMMERCIAL FINANCING APPLICATION Please print or type legibly. AN INCOMPLETE FORM WILL DELAY PROCESSING LEGAL NAME of a...

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