APPLICATION AND AGREEMENT FOR CREDIT TPC HOLDINGS, INC. Accounting Department Only
TRIBUNE PUBLISHING COMPANY, INC. NEWS REVIEW PUBLISHING INC. Lewiston Morning Tribune (Lewiston, ID)
Moscow Pullman Daily News (Moscow, ID/Pullman, WA)
Date Acct Opened_______________Acct. No.__________________ Credit Approved by _______________________________________ Date________________________Credit Limit__________________
Maximum Credit Desired $_________________________ Date______________________________
_________________________________________________________________________________________________ Firm Name
Type of Business or Product Sold
__________________________________________________________________________________________________________________________ DBA __________________________________________________________________________________________________________________________ Business Address City State Zip Tel No.____________________________________Fax No.____________________________________ Email_________________________________ How Long in Business_____________________Corporation_________Partnership__________Single Owner__________Limited Liability Co__________
OWNERS/OFFICERS (1) _______________________________________________________________________________________________________________________ Name Title Phone SS No_______________________________________ Residence__________________________________________________________________ (2)________________________________________________________________________________________________________________________ Name Title Phone SS No_______________________________________ Residence__________________________________________________________________ (3)________________________________________________________________________________________________________________________ Name Title Phone SS No_______________________________________ Residence__________________________________________________________________ Tax ID No.________________________________________
Sellers PermitNo.___________________________________________
BUSINESS/TRADE REFERENCES (Give only names of those you buy from on an open account.) __________________________________________________________________________________________________________________________ Bank Branch and Address Checking Account Number __________________________________________________________________________________________________________________________ Additional Account Number/Loan Number Contact Person Telephone Number (1)________________________________________________________________________________________________________________________ Firm Address/Street/City/Zip Code Account No.____________________ Phone No._____________________________Contact____________________________________________ (2)________________________________________________________________________________________________________________________ Firm Address/Street/City/Zip Code Account No.____________________ Phone No._____________________________Contact____________________________________________ (3)________________________________________________________________________________________________________________________ Firm Address/Street/City/Zip Code Account No.____________________ Phone No._____________________________Contact____________________________________________ FINANCE CHARGE: A finance charge of 1.75% per month will be added to those accounts one or more days delinquent. This is equivalent to 21% per annum - an annual percentage rate of 21%. Date of payment will be determined by the date received. Everything that I have stated in this application is correct. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history, to answer questions about your credit experience with me and to relay the information necessary in order to answer such an inquiry fully. I represent that I have the authority on behalf of my company to apply for and receive the extension of credit requested herein.
AUTHORIZED SIGNATURE___________________________________________________________TITLE____________________________________ SALESPERSON_____________________________________________________________________________________________________________ (PERSONAL GUARANTEE ON REVERSE)