CREDIT APPLICATION

Mountain Valley Power
Rentals & Sales LLC
PO Box 1134
Meridian, ID 83680
Bus: (208) 8691314
COMPANY INFORMATION:
Company name:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number:
Format: (000) 000-0000.
Fax number:
Format: (000) 000-0000.
Billing address (if different):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact name:
Federal I.D. number:
SSN of Principals, if individual or partnership:
Sole ProprietorPartnershipCorporationLLCLLPNon-profit Corp
If Corporation, give date of incorporation:

MonthDayYear
Date
State:
List Officers, Partners, Owners and/or Authorized Agents:
NAME, TITLE, HOME ADDRESS (Req. for Sole Proprietors/Partners)
NAME, TITLE, HOME ADDRESS (Req. for Sole Proprietors/Partners):
NAME, TITLE, HOME ADDRESS (Req. for Sole Proprietors/Partners):
BANK REFERENCES:
Bank name:
Branch:
Phone number:
Format: (000) 000-0000.
Contact name:
Checking Acct. #:
Loan #:

TRADE REFERENCES:

TRADE REFERENCES:

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Mountain Valley Power Rentals & Sales LLC (MVP) open account terms are Net 30.
The undersigned hereby applies to MVP credit. It is understood and agreed that the undersigned specifically consents to MVP investigating the applicant's credit history for the purpose of extending commercial credit. If credit is extended, the undersigned agrees to abide by the terms and conditions set forth in the rental contract. Agreement is made that all reasonable costs of collection will be paid by customer, including a reasonable sum for attorney's fees, if the account is not paid when due. Agreement is also made that unpaid balances over thirty days are subject to a 1.5% service charge.
Name
Signature:

Clear
Title:
Date:

MonthDayYear
Date
NOTICE-the Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract), because all or part of the applicant's income derives from any public assistance programs, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.
PERSONAL GUARANTY
The undersigned, jointly and severally, in consideration of the monthly billing privileges being extended to the applicant, do hereby unconditionally guarantee and promise to pay any and all obligations of said applicant which have in the past or may in the future be owning to MMVP on open account or otherwise, including without limitation service charges and attorney's fees. The undersigned waives any right to require MVP to proceed against applicant or pursue any other remedy and any statute of limitation pertaining hereto; and the undersigned further waives all presentments, demands for performance, notices of non-performance, protests, notices of dishonor and notices of acceptance of this guaranty and of the incurrence or modification of existing or additional indebtedness. No delay in the enforcement of this personal guaranty shall affect the liability of any of the undersigned.
CREDIT APPLICATION
Page 2 of 3

The guarantor authorizes Mountain Valley Power Rentals & Sales LLC to obtain credit and financial information concerning the guarantor at any time and from any source with respect to the extension of credit for business purposes.
Executed at
Date

MonthDayYear
Date
Guarantor signature:

Clear
Guarantor Name (printed):
Social Security Number:
CREDIT APPI ICATION
Dage 2 of 2
Should be Empty:

COMPANY INFORMATION:

BANK REFERENCES:

TRADE REFERENCES:

PERSONAL GUARANTY

CREDIT APPLICATION