N.K.S. Distributors Credit Application

N.K.S. Distributors

Credit Application
Name/Address
Name:*

First NameMiddle InitialLast Name
Email:*
example@example.com
Name of Business:*
License #:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Please enter a valid phone number.

Company Information
Type of Business:*
In Business Since:*

MonthDayYear
Date
Legal Form Under Which Business Operates:*

CorporationPartnershipProprietorship
Name of Company Principal Responsible for Business Transactions:*
Address:*

Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Please enter a valid phone number.

Bank References
Institution Name:*
Checking Account Number:*
Phone*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Institution Name:*
Savings Account Number:*
Phone Number:*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Social Security or EIN #:*
Social Security#:*
EIN #:*

Trade References
Reference #1
Company Name:*
Contact Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Account Opened Since:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Reference #2
Company Name:*
Contact Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Account Opened Since:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Accounts Receivable Point of Contact
Primary A/R Contact
Contact Name:*

First NameLast Name
Position:*
Phone Number:*
Please enter a valid phone number.
Billing Email (for Statements/Invoices):*
example@example.com
Billing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Secondary A/R Contact
Contact Name:*

First NameLast Name
Position:*
Phone Number:*
Please enter a valid phone number.
Billing Email (for Statements/Invoices):*
example@example.com
Billing Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Information Certification
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, Thereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
Signature*

Clear
Date*

MonthDayYear
Date

Terms of Credit
Payment in full is required within 14 days of delivery of goods. After 14 days, interest shall accrue at the annual rate of 18%. Acceptance of late payments will not waive this or any other provision of the extension of credit hereunder expressed.

In the event of default of payment buyer accepts responsibility to pay the seller's attorney's fees pursuant to 10 Del. Code § 3912.

I authorize you to obtain and exchange credit information in connection with this application and any credit extended hereunder. The application shall remain your property whether credit privileges are granted. If credit is extended, I agree to pay you in accordance with your terms and conditions.
Signature*

Clear
Date*

MonthDayYear
Date
*All information must be completed in full, otherwise this application will be considered incomplete. This application is not an offer of credit and is wholly dependent upon acceptance of NKS by an authorized agent. Until such authorized agent signs below, the applicant's offer to receive credit and pay according to the terms of this agreement is not effective. Furthermore, once the applicant's offer is accepted, NKS expressly reserves the right to terminate extension of credit at the sole discretion of NKS without notice.
In the event the customer referenced below defaults on any payment obligations owed to N.K.S. Distributors, Inc., (NKS), NKS shall be entitled immediately to enforce the obligations of the undersigned guarantor in accordance with the terms below.
Customer*
Please deliver to the above customer (the "Customer") such goods as it may order from time to time in its business (the "Purchases").

For Valuable consideration, which is hereby acknowledged, the undersigned (the "guarantor") agrees, in his/her personal capacity, to be personally, unconditionally, and absolutely responsible for any unpaid balance for the Purchases (the "Guaranty" The obligations set forth in the Guaranty shall continue in full force and effect for all Purchases made by the Customer. The Guaranty and the obligations of the Guarantor shall be irrevocable and shall not be discharged (neither through insolvency nor formal bankruptcy proceedings) until any and all unpaid balances owed by the Customer to NKS are fully paid and satisfied.

Guarantor hereby authorizes and empowers any Justice of the Peace in the State of Delaware or elsewhere, without process, to enter judgment, or any Clerk, Prothonotary or Attorney of any Court of Record in the State of Delaware, or elsewhere, with or without process, to appear for him or her and, upon default and failure to cure same within any applicable grace period, to confess judgement in the Superior Court of the State of Delaware or any other court of record in Delaware or elsewhere regarding any obligations owed by Customer to NKS, together with any applicable interest and reasonable counsel fees, without process against him/her, his/her heirs, personal representatives, executors, administrators or assigns, in connection with any action brought by NKS to enforce its rights under the Guaranty, with stay of execution until day of payment.

Guarantor Waives: (i) notice of acceptance of the Guaranty (ii) all suretyship defenses (iii) the benefit of any and all exemption laws of the State of Delaware or elsewhere; and (iv) all other notices and demands otherwise required by law which Guarantor may lawfully waive, including without limitation, any and all notices relating tothe confession-of-judgement provision contained in the Guaranty. Moreover, no delay on the party of NKS in exercising any of its rights, powers or privileges or partial or single exercise thereof under this Guaranty shall operate as a waiver of any such privileges, powers or rights.

NKS may, in its sole discretion, exercise any right or remedy which NKS has under this Guaranty or otherwise provided by law (such rights and remedies being cumulative and not alternative or exclusive) without pursuing or exhausting any right or remedy NKS has against Guarantor or any other person or entity.

The Laws of Delaware Shall govern the construction of this Guaranty and the rights remedies, and provisions hereof without regard to the principles of conflict of laws.

This Guaranty represents the entire agreement and understanding of NKS and Guarantor concerning the subject matter hereof, and supersedes all other prior agreements and understandings concerning the subject matter hereof, whether oral or written.
IN WITNESS WHEREOF, the undersigned Guarantor, intending to be legally bound hereby, has duly executed this Guaranty as of the day and year set forth below.
Date*

MonthDayYear
Date
Guarantor*
Name*
REV: 7-12-23
Should be Empty:

N.K.S. Distributors

Name/Address

Company Information

Bank References

Trade References

Accounts Receivable Point of Contact

Information Certification

Terms of Credit

IN WITNESS WHEREOF, the undersigned Guarantor, intending to be legally bound hereby, has duly executed this Guaranty as of the day and year set forth below.

REV: 7-12-23