Johnson Brothers-Maverick of Texas Credit Application

Credit Application

5935 Eisenhauer Rd, Building 3 San Antonio, TX 78218 | 214-245-5342 | info@maverickbevtx.com

This form is filed in our confidential credit file and used only in establishing credit with our company
CUSTOMER INFORMATION
Licensed As*
Legal Entity Type*
DBA Name*
Phone #*
Address*
Store*
City*
State
Zip*
County*
Mailing Address (if different)
Preferred Payment Method: (Terms: 10th & 25th w/Personal Guarantee. Beer Terms: Payment on delivery - COD.*

CheckFintechOnline Portal City HiveCOD
CONTACT INFORMATION
AP Name*
Email*
example@example.com
Phone*
Buyer Name*
Email*
example@example.com
Phone*
Owner/Manager Name
Email
example@example.com
Phone
LICENSE & TAX INFORMATION
License #*
Hemp License
Category*
Fein #*
State Tax Resale #*
Banner/Concept
Chain
DELIVERY INFORMATION
Preferred Delivery Day
Earliest Delivery Time
Latest Delivery Time
Do Not Delivery Between
Continuous 4-hour time window required
Driver Instructions
ADDITIONAL INFORMATION
Sales Consultant (if known)
Additional Consultants
Customer agrees that delinquent balances on invoices over 60 days old will carry interest at a rate of 1.5% per month, and further agrees to pay all costs of collection, including reasonable Attorney’s fees. There is an additional charge for returned payments at the maximum allowed by state law.

Customer expressly agrees that the forum for any litigation pursuant to this agreement or any other contract between Seller and Customer, whether Seller or Customer brings suit, shall be the state or federal courts located in Bexar County, Texas, and the Customer consents and submits to the venue and jurisdiction of said courts. This agreement shall be governed by and construed in accordance with the laws of Texas.

Customer shall make a careful inspection at time of delivery. Failure to give written notice within ten (10) days of delivery shall constitute an unqualified acceptance of the merchandise delivered and a waiver of all claims. No returned product will be accepted without prior approval. Restocking fee of 25% will be applied.

This signature gives permission to Johnson Brothers of Texas Inc, or their agent, to verify any or all information listed on this form.
Signature*

Clear
Print Name*
Title*
Date*

MonthDayYear
Date

GUARANTY OF CUSTOMER ACCOUNT:
Customer #*
Full Legal Name of Business*
Address*
City*
State*
Zip Code*
This letter will confirm our understanding:

To indue Johnson Brothers of Texas Inc and their various divisions, subsidaries, parents, affiliates and related businesses to sell merchandise and extend credit to the Customer above-named, I/we hereby unconditionally guarantee the prompt and full payment when due of any and all indebtedness that the Customer may owe you from time to time arising from your sale or delivery of merchandise to the Customer. I/we will also pay you any collection expenses and reasonable attorney’s fees you may incur due to the Customer’s default or to enforce this guaranty. I/we agree that these obligations may not be offset by any claim or counterclaim the Customer may have against you, or by any potential contribution from another guarantor. You may enforce this guaranty either before or after proceeding against the Customer.

This guaranty is continuing, absolute and unconditional, and I/we can revoke it only by giving you my/our termination notice in writing (verbal notice is insufficient My/our guaranty will still cover any transactions that occur before you actually receive such written notice.

I/we hereby waive notice of acceptance, demand, protest, dishonor, default or non-payment, orders, sales and deliveries, and extensions of credit. My/our obligations under this guaranty will be joint and several, and not be affected by any settlements, compromises, releases, adjustments, or other transactions involving you and the Customer. I/we agree that you may bring any suit to enforce this guaranty in the state or federal courts located in Bexar County, Texas, and I/we consent to the venue and jurisdiction of said courts.

I/we understand that this is a legal agreement, and agree to be bound by its terms.
Sign Name*

Clear
Print Name*
Guarantor 1
DATE*

MonthDayYear
Date
Sign Name

Clear
Print Name
Guarantor 2
DATE

MonthDayYear
Date

Texas Sales and Use Tax Resale Certificate
Name of purchaser, firm or agency as shown on permit*
Address(Street & number, P.O. Box or Route number)*
Phone Number*
City, State, ZIP code*
Texas Sales and Use Tax Permit Number(must contain 11 digits)*
Out-of-state retailer's registration number or Federal Taxpayers Registry (RFC) number for retailers based in Mexico. Retailers based in Mexico must also provide a copy of their Mexico registration form to the seller
I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items described below or on the attached order or invoice) from:
Seller*
Street address*
City, State, ZIP code*
Description of items to be purchased on the attached order or invoice
Description of the type of business activity generally engaged in or type of items normally sold by the purchaser*
The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold.

I understand that if I make any use of the items other than retention, demonstration or display while holding them for sale, lease or rental, I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period of time used.

I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.
Signature*

Clear
Title*
Date*

MonthDayYear
Date
This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.

Texas Sales and Use Tax Exemption Certification

This certificate does not require a number to be valid.
Name of purchaser, firm or agency*
Address(Street & number, P.O. Box or Route number)*
Phone*
City, State, ZIP code*
I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable items described below or on the attached order or invoice) from:
Seller*
Address*

Street address

Street Address Line 2

City, State, ZIP codeState / Province

Postal / Zip Code
Description of items to be purchased or on the attached order or invoice*
Purchaser claims this exemption for the following reason*
I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and/or all applicable law.

I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase, will be used in a manner other than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.
Signature*

Clear
Title*
Date*

MonthDayYear
Date
NOTE: This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle.

THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID.

Sales and Use Tax "Exemption Numbers" or "Tax Exempt" Numbers do not exist.

This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.
Should be Empty:

CUSTOMER INFORMATION

CONTACT INFORMATION

LICENSE & TAX INFORMATION

DELIVERY INFORMATION

ADDITIONAL INFORMATION

GUARANTY OF CUSTOMER ACCOUNT:

Texas Sales and Use Tax Resale Certificate

Texas Sales and Use Tax Exemption Certification