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Clausen Meat Co., Inc.

P.O. Box 1826 19455 Clausen Road Turlock, CA 95381 Tel: (209) 667-8690
Fax: (209) 667-8699 info@clausenmeat.com www.clausenmeat.com

AGREEMENT FOR PAYMENT OF GOODS AND COLLECTION EXPENSES


For and in consideration of the sale of goods and services and the extension of credit to applicant by
Clausen Meat Co., the undersigned Corporation, Partnership, Proprietorship, or natural person(s) hereby
to the following terms and conditions upon acceptance of this application by Clausen Meat Co.
1. Prompt payment shall be made to Clausen Meat Co. of all sums due and owing upon demand.
All balances are net 7 DAYS unless payment is required sooner by Clausen Meat Co.
2. Upon default in payment of obligation due and owing to Clausen Meat Co. and in the event,
collection proceedings, including legal action are instituted by Clausen Meat Co. for collection the
undersigned hereby agrees to pay all costs, expenses, and attorneys fee incurred by Clausen
Meat Co. pursuant to the collection or attempt to collect said amount.
3. Finance/ service charge on past due and unpaid balances shall accrue at the rate of 1 % per
month, and the undersigned agrees to pay all finance/ service charges on past due amounts.
4. The terms of this agreement are contractual and not merely recitals and are intended to bind the
heirs, executors, administrators, successors, and assigns of the applicant.
5. In the event that legal proceedings are instituted by Clausen Meat Co. pursuant to the collection
of the said debt owned, the undersigned agrees and stipulates to the venue of the said
proceedings to be Merced County, State of California.
6. We hereby authorize our credit references to release any information necessary to assist in
establishing a line of credit with Clausen Meat Co.
The undersigned has read all of the provisions of the above credit application and payment, agreement,
understands the terms and conditions herein, and hereby consents to the same. If signed by
representative of a Corporation, the undersigned hereby verifies that he has the actual and requisite
authority to bind the Corporation of this document and execute this agreement on behalf of the
Corporation.

Name

Partner name

Signature

Signature

Title

Title

Date

Date

Confidential

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Clausen Meat Co., Inc.


P.O. Box 1826 19455 Clausen Road Turlock, CA 95381 Tel: (209) 667-8690
Fax: (209) 667-8699 info@clausenmeat.com www.clausenmeat.com

APPLICATION FOR CREDIT


DATE ________________
INSTRUCTIONS: Please print or type. Fill in all spaces and complete by signing where indicated. A
signature is mandatory prior to receiving credit term, if a corporation, signature must be that of an officer
or authorized

BILLING ADDRESS:

SHIPPING ADDRESS:

NAME

NAME

ADDRESS

ADDRESS

CITY

CITY

STATE

ZIP

STATE

ZIP

BUSINESS PHONE
BUSINESS FAX
SOC. SEC #
OWNER/OFFICER

DRIVER LIC #

HOME ADDRESS

CITY

STATE

ZIP

HOME PHONE
CHECK ONE: INDIVIDUAL/ SOLE PROPRIETOR

PARTNERSHIP

CORPORATION

FEDERAL TAX NO.


PERSON TO CONTACT REGARDING PAYMENTS
TYPE OF BUSINESS
ESTIMATED ANNUAL SALES

DATE BUSINESS STARTED

DO YOU RENT OR OWN BUILDING


IF RENT, LIST LANDLORD
REAL ESTATE MORTGAGE HELD BY:

Confidential

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TRADE REFERENCES:

COMPANY NAME

ADDRESS

CITY, STATE, ZIP

PHONE

1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________

BANK REFERENCE:
NAME OF BANK

BRANCH

ADDRESS

CITY, STATE, ZIP

ACCOUNT NUMBER

PHONE

BANK OFFICER

Confidential

Page 3

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