A service charge of 1.5% per month (18% per annum) applies to past due accounts. I acknowledge that if the business is a partnership, all indebtedness incurred is joint and several. The applicant agrees that BellSimons Companies may obtain personal information about the applicant from consumer reporting agencies prior to extending credit and any time after that when the 'Applicant' remains indebted to BellSimons Companies I consent that I may receive electronic documents, such as invoices and statements of account from BellSimons Companies. An NSF fee of $30 will be charged for any returned payments from the financial institution.

I certify that all the above information is true correct and complete. I am a Principal, Owner or Partner of the business and have the authority to bind the Business. I authorize that BellSimons Companies may obtain personal credit information about the applicant from consumer reporting agencies prior to extending credit. I hereby authorize my bank named above to disclose all information on my bank dealings to BellSimons Companies. I understand that the information provided will be held in strict confidence and will be relied upon by BellSimons Companies. in extending credit.

In consideration of BellSimons Companies supplying goods to the business, I/we hereby (jointly and severally) personally guarantee payment for all such goods which you may supply to the Business. I/we personally agree that you may accept notes or acceptances for the price of goods supplied or any part thereof, may compromise the liability of the Business to you, and exercise or relinquish any

security as you may think proper, without lessening or adversely affecting your rights against me/us. And I /we declare and agree that this personal guarantee shall continue to be binding and shall ensure the benefit of BellSimons Companies until it receives payment in full for goods supplied to your business.