Fillable Galleher LLC CREDIT APPLICATION Rohnert Park * Sacramento

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Galleher LLC CREDIT APPLICATION Rohnert Park * Sacramento

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CREDIT APPLICATION
INSTRUCTIONS: Please print or type. All spaces must be filled in and completed. A SIGNATURE IS MANDATORY PRIOR
TO RECEIVING CREDIT TERMS. If a corporation, the signature must be that of an officer, stating title.
PLEASE PRINT OR TYPE ALL INFORMATION ON APPLICATION
BUSINESS TRADE NAME/BUSINESS (LEGAL) NAME PROPRIETORSHIP ANNUAL SALES HOW LONG IN
BUSINESS:
____ OWN
____ RENT
PARTNERSHIP
CORPORATION
STREET ADDRESS CITY STATE ZIP PHONE (AREA CODE)
SHIPPING ADDRESS (If different from above) CITY STATE ZIP PHONE (AREA CODE)
CONTRACTOR LICENSE # E-MAIL: FAX #
PROPRIETORSHIP OR PARTNERSHIP:
1. NAME HOME ADDRESS (Street, City, State) SOCIAL SECURITY # ZIP CODE PHONE (AREA CODE)
2. NAME HOME ADDRESS (Street, City, State) SOCIAL SECURITY # ZIP CODE PHONE (AREA CODE)
CORPORATION:
PRESIDENT NAME HOME ADDRESS (Street, City, State) ZIP CODE PHONE (AREA CODE)
VICE PRES. NAME HOME ADDRESS (Street, City, State) ZIP CODE PHONE (AREA CODE)
SECRETARY/TREASURER NAME HOME ADDRESS (Street, City, State) ZIP CODE PHONE (AREA CODE)
BANK:
NAME OF BANK BRANCH
ADDRESS (Street) ACCOUNT NUMBERS
CITY, STATE, ZIP PHONE #
TRADE REFERENCES:
NAME-ADDRESS-CITY-STATE-ZIP-PHONE
1.
NAME-ADDRESS-CITY-STATE-ZIP-PHONE
4.
2. 5.
3. 6.
The above information is submitted by the undersigned for the purpose
of obtaining credit. The undersigned authorizes Galleher LLC
to
whom this application is made to investigate the references listed
above and/or obtain a Consumer Credit Report pertaining to my/our
credit and financial responsibility. The undersigned expressly aggress to
make payment in full to you for all purchases in accordance with your
invoice(s). Should the undersigned default in any such payment, the
undersigned expressly agrees to pay a late service charge on any
amounts in default at the maximum rate permitted by law, and, at your
option, amounts owed you by the undersigned by, and, at your
option, all amounts owed you by the undersigned shall become
immediately due and payable. The undersigned further agrees to pay
a reasonable attorney’s fee and all other costs and expenses incurred
by you in the collection of any obligation of the undersigned pursuant
hereto. This agreement shall become effective when accepted by
your authorized representative. The undersigned shall not transfer or
assign this agreement without the prior written consent
of Galleher LLC or subsidiary designated above.
DATE AUTHORIZED SIGNATURE & TITLE
For Office Use Only
SALES REP. CREDIT LIMIT TERMS ACCOUNT #
Galleher LLC
9303 Greenleaf Avenue
Santa Fe Springs, CA 90670
Main Office 562-944-8885
Credit Dept. Fax 562-941-8822
Concord * Dublin * Fresno * Irvine *
Inglewood * Las Vegas * Oakland * Oxnard *
Pasadena * Phoenix * Rancho Cordova * Reno *
Rohnert Park * Sacramento * San Carlos * San
Diego * San Francisco * San Jose * San Marcos
* Santa Fe Springs * Torrance * Van Nuys
GUARANTY
NOTICE: BY EXECUTING THIS GUARANTY YOU BECOME LIABLE FOR THE OBLIGATIONS OF
THE DEBTOR NAMED BELOW.
In consideration of the extension of credit by GALLEHER LLC or subsidiary designated on the reverse
side hereof (“Creditor”), to ___________________________________________________ (“Debtor”),
the undersigned hereby unconditionally guarantees payment of all amounts Debtor shall at any time
owe to Creditor on account of goods sold and delivered to Debtor whether such indebtedness is in the form
of notes, bills, open account or otherwise. This guaranty shall continue notwithstanding any change in the
form of such indebtedness or renewals or extensions granted by Creditor without the necessity of obtaining
any consent of the undersigned thereto, until expressly revoked by written notice from the undersigned as to
the indebtedness contracted by Debtor prior thereto. This guaranty extends to and includes any and all interest
due or to become due together with an attorney’s fees. Costs and expenses incurred by Creditor in
connection with any matter covered by this guaranty.
The undersigned hereby waives notice of acceptance of this guaranty by Creditor and notice of default or
of non-payment. No delay by Creditor in exercising any right hereunder or taking any action to collect or
enforce payment of any obligation hereby guaranteed, either as against Debtor or any other person
otherwise liable, shall operate as a waiver of any such right or in any manner prejudice the rights of
Creditor against the undersigned. The undersigned hereby agrees that in the event of any default by
Debtor Creditor shall be entitled to reasonable attorneys’ fee and all other costs and expenses incurred by the
Creditor in the enforcement of this guaranty. In the case of multiple guarantors hereunder, all liability of
each such guarantor should be joint and several.
The undersigned agrees to unconditionally guarantee payment of all sums owed pursuant to this Agreement and
further agrees to its terms regarding venue. This is intended to be and is a continuing guarantee and shall not be
revoked except by written notice to creditor.
___________________________________ BY: X__________________________________________
DATE (Personal Guarantor)
___________________________________ BY: X__________________________________________
DATE (Personal Guarantor)
I HEREBY CERTIFY,
That I hold Valid Seller’s Permit No.______________________________________ issued pursuant to the
Sales and Use Tax Law; that I am engaged in the business of selling __________________________________
______________________________________________________________________________________that
the tangible personal property described herein which I shall purchase from:
GALLEHER LLC
will be resold by me in the form of tangible personally property, PROVIDED, however, that in the event of any
of such property is used for any purpose other than retention, demonstration, or display while holding it for sale
in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report and
pay the tax, measured by the purchase price of such property.
Description of property to be purchased: Floor Covering Materials and Supplies
Dated:____________________________ Purchaser X ___________________________________________
must be signed to be valid
PLEASE CHECK: SIGNED??
QUESTIONS ANSWERED??
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Galleher LLC CREDIT APPLICATION Rohnert Park * Sacramento

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Completed 4 February 2021

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