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LESCO

LESCODISTRIBUTINGLESCODISTRIBUTINGA pplication InstructionsA. Page 1 of the form requests general information about you company and is needed to set up your account. If your company is located in Florida, Indiana, or Texas, then we require the Resale Tax Certificate. The certificate must be signed by an authorized member of your company. Without this certificate you will be charged the applicable sales tax. Customers in other states are required to submit a copy of their business Page 2 is only needed if your are applying to issue payment with Company Check or 30 Day Net Terms.

LESCO DISTRIBUTING LESCO DISTRIBUTING Application Instructions A.Page 1 of the form requests general information about you company and is needed to

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Transcription of LESCO

1 LESCODISTRIBUTINGLESCODISTRIBUTINGA pplication InstructionsA. Page 1 of the form requests general information about you company and is needed to set up your account. If your company is located in Florida, Indiana, or Texas, then we require the Resale Tax Certificate. The certificate must be signed by an authorized member of your company. Without this certificate you will be charged the applicable sales tax. Customers in other states are required to submit a copy of their business Page 2 is only needed if your are applying to issue payment with Company Check or 30 Day Net Terms.

2 If page 2 is being filled out, upon completion, you must print the form and sign where it requests the "Signature of Owner/Responsible Officer".1. Place your cursor at the beginning of the form and type in your information, press the "tab" key to proceed to the next To fill in check boxes you can either press the "Enter/Return" key or click the desired box with your mouse. Print when Mail or fax completed forms and resale certificate or business license copy to the closest location below. Please contact us with any questions or if there is anything we can do for you.

3 Sincerely, The LESCO Distributing Sales Team1628 West Crosby Road, Suite 115 Carrollton, TX 75006 Sales: 800-527-2939 Fax: 972-242-1509 Local: 972-446-16052310 Foundation Drive, South Bend, IN 46628 Sales: 800-348-2888 Fax: 574-251-4993 Local: 574-251-49801203 East Industrial Drive, Orange City, FL 32763 Sales: 800-444-8896 Fax: 386-775-1146 Local: 386-775-7244 2180 NW 89th Place Doral, Fl 33172 Sales: 800-327-2830 Fax: 305-592-4121 Local: 305-593-6131 Credit Application / New Account InformationPAGE 1 OF 2 GENERAL INFORMATIONP arent CompanyYES NO Name_____Attention_____Address _____Phone Number_____Owner s Name_____Driver s License # _____Birth Date_____Social Security # _____Fax Number_____Accounts Payable Contact_____Federal ID #_____Resale Tax Number_____(Note: Without sales tax number you will be automatically be charged taxwhere applicable.)

4 TaxableYES NO Backorder AcceptedYES NO PO Number RequiredYES NO Shipping Comments_____Invoice Comments_____Referred By _____Type Of Business_____Ship To_____Attention_____Address _____Phone Number_____Buyer s Name_____Fax Number_____Bill To _____Attention_____Address _____Phone Number_____Fax Number_____Resale Tax Number_____Is the Buyer s addressthe same as ship to address? YES NO Backorder AcceptedYES NO Does an affiliate of yours currently do business with us? YES NO If Yes, Name of Location or Customer #_____Have you donebusiness with us in the past?

5 YES NO If Yes, Name of Location or Customer #_____Salesperson# _____Date _____Per_____ Customer Class _____Date _____ Customer Number_____Processed By _____Terms: With Approved Credit Secured By:____ Pers. Gty. No Credit Approval- Code ---1---4 (Circle One)____ UCC Filing Prepaid____ OtherFOR SALES MANAGER USE ONLYFOR OFFICE USE ONLY10-99 LESCODISTRIBUTINGI nventory Financing Source _____Account Number _____CREDIT LIMIT _____ D&B RATING_____APPROVED BY _____ DATE _____PAGE 2 OF 2 CREDIT APPLICATION - All Information is Confidential ISSUED BY: SM#_____Mail To:LESCOD istributing Inc.

6 (See application instructions for address listings)CREDIT SALES POLICYCREDIT REQUIREMENTSBANK REFERENCETRADE REFERENCEIF CREDIT IS REQUESTED, THIS PAGE MUST BE COMPLETEDFor the purpose of obtaining merchandise from LESCOD istributing Inc. on credit, the following statement in writing made by the applicant authorizes LESCOD istributing Inc. to any references given and inquire of them about credit history. Upon approval of this application,applicant agrees to abide by the terms and condi-tions of sale. Applicant further agrees to notify LESCOD istributing Inc.

7 In writing with in five days of any change of ownership, address, telephone, authorized purchasingagent(s), banks, transfer of assets, or other facts set forth All invoices due 30 days from invoice date. No discounts for cash If payment is not in our hands within terms of invoice, the account will be considered as having gone into a past due situation and assessed a finance charge of 1-1/2% per month (18% per annum). Any account will be considered past due may be on a temporary hold basis until payment is received. Additional information may then be requested to make further In event of non-payment of said account it becomes necessary for LESCOD istributing Inc.

8 To obtain the services of a outside collection agency the undersigned promises to pay LESCOD istributing Inc. all fees and costs associated with collection In case of suit, action or preceding for non-payment of said account, the undersigned agrees to pay LESCOD istributing attorneys fees to be fixed by the trial court and if any appeal is taken from any decision of the trial court, such further sums as may be fixed by the appellate court, as LESCOD istributing Inc. reasonable attorneys fees in the appellate and venue of said suit shall be in the courts of the State of Florida in Volusia County, and Florida law shall Signature by you or your authorized representative on this credit application is presumed to establish your acceptance of the terms and conditions set forth herein, withoutexception and to your agreement to comply with said at this location_____ Number of locations_____Corporation_____ Partnership_____ Sole Proprietorship_____Other (Specify) _____Officers.

9 President_____ Vice President_____Treasurer _____ Secretary_____Principal Share Holders_____Partners_____Listed in D & B Yes___ No___ Other Credit Bureau_____Bank_____ Account Number_____Address_____ Phone Number_____City, State, Zip Code _____ Contact_____Bank Credit Line_____ Secured: Yes_____ No_____Name_____ Phone___(____)_____Address_____ City, State, Zip Code_____Name_____ Phone___(____)_____Address_____ City, State, Zip Code_____Name_____ Phone___(____)_____Address_____ City, State, Zip Code_____Name_____ Phone___(____)_____Address_____ City, State, Zip Code_____I HEREBY AUTHORIZE THE ABOVE TO RELEASE ALL INFORMATION NEEDEDS ignature Of Owner/Responsible Officer_____ Title_____Please Print Name & Title_____SS#_____ Driver s License #_____CREDIT PROCESSING ONLYLESCOD istributing, E.

10 Industrial City, FL 32763 Phone: Sales: Fax: PERSONAL GUARANTEEDate:I, residing at,Social Security # , in order to induce LESCO DISTRIBUTING, INC. to consummatesales with the following, (Hereinafter referred to as the Company ),personally guarantee to you, of any and all indebtedness, obligations, and liabilities upon which said Company incurs. It is understood that this guarantee shall be a continuing, irrevocable, absolute and unconditional guarantee and indemnity for such indebtedness of the Company, in any event.


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