Credit Application

NAME OF FIRM OR INDIVIDUAL*

YEARS AT THIS ADDRESS

ATTENTION

PHONE*

ADDRESS FOR INVOICING*

Email

CITY, STATE ZIP CODE*

Payables Email*

The following information must be provided. It will be held in the strictest confidence.

FEDERAL TAX ID NUMBER*

NAME(S) OF PRINCIPAL/PARTNER/OWNER*

PHONE

ADDRESS

SOCIAL SECURITY OF OWNER OR PARTNER

DRIVER’S LICENSE OF OWNER/PARTNER

CITY, STATE ZIP CODE

NAME(S) OF PRINCIPAL/PARTNER/OWNER

PHONE

ADDRESS

SOCIAL SECURITY OF OWNER OR PARTNER

DRIVER’S LICENSE OF OWNER/PARTNER

CITY, STATE ZIP CODE

NAME(S) OF PRINCIPAL/PARTNER/OWNER

PHONE

ADDRESS

SOCIAL SECURITY OF OWNER OR PARTNER

DRIVER’S LICENSE OF OWNER/PARTNER

CITY, STATE ZIP CODE

BANK INFORMATION

BANK NAME*

ADDRESS*

CITY, STATE ZIP CODE*

BANK OFFICER/ACCOUNT MGR/DEPARTMENT*

PHONE*

ACCOUNT NUMBER

TRADE REFERENCES

PLEASE GIVE COMPLETE INFORMATION. NOTE: The following companies do not release credit information, therefore please do not use these as references - Burnco, White Cap, Sunbelt Rentals, RCI Cable, or Ready Cable

TRADE REFERENCE #1*

PHONE

ADDRESS

ACCOUNT NUMBER

EMAIL*

CITY, STATE ZIP CODE

TRADE REFERENCE #2*

PHONE

ADDRESS

ACCOUNT NUMBER

EMAIL*

CITY, STATE ZIP CODE

TRADE REFERENCE #3*

PHONE

ADDRESS

ACCOUNT NUMBER

EMAIL*

CITY, STATE ZIP CODE

The undersigned applicant for credit, by execution of this application, warrants and represents that the statements of fact furnished herein are true and correct, that Titan Ready Mix, LP(Titan) may verify said representations by contacting references, banks and/or credit reporting agencies, and that all purchases now made and which may be hereafter made from Titan shall be upon the following terms and conditions:

Terms
Credit account invoices are due in 30 days (unless otherwise approved by Titan in writing) and payable to Titan Ready Mix LP, 1050 Hughie Long Rd, Cresson, Texas 76035 or other address as designated by Titan.

Interest
A monthly late charge shall accrue on any amount not paid in accordance with the terms on the invoice at the lesser of one and one-half percent (11/2%) per month or the maximum rate permitted by applicable law.

Texas Law Applicable
Texas law shall apply to any dispute relative to matters covered by this agreement.

Credit Check Authorization
Execution indicates authorization to review the credit of all parties set out in this agreement at initation or any time thereafter

COMPANY NAME*

BY

TITLE*

DATE*

PRINT NAME*

ADDRESS

CITY, STATE ZIP CODE

Guarantee Agreement

I (we) understand that the information furnished you herein, is for the purpose of obtaining credit from Titan, that I am (we are) authorized, in my (our) capacity, to bind my (our) firm accordingly. I (we) the undersigned, hereinafter called guarantors, do jointly and severally, unconditionally guarantee and promise to be held personally liable to Titan for all indebtedness accrued under this continuing agreement. That all accounts or monies due you or your assigns shall be due and payable at your place of business. That all accounts, notes or judgements shall automatically draw default and referral to an attorney or collection agency. I (we) agree to pay reasonable cost and attorney’s fees of at least 25%.

NAME OF INDIVIDUAL

WITNESS

NAME OF INDIVIDUAL

DATE

Credit Application