COMMERCIAL CREDIT APPLICATION Automotive Equipment and Supply. LLC 3739 Peoria Street, Denver, CO 80239 Colorado Phone: 1-800-971-0924 Colorado Fax: 303-373-0377 Hawaii Phone or Fax (808) 324-1717,Toll Free (800) 789-3880 BUSINESS INFORMATION: Company Name: ____________________________________________________________________ Address: _________________________________________________________________________ Zip Code: ___________________ State:_____________________________________________ Phone Number: (_______)___________________________________________________________ Nature of the Business: __________________________________________________________ How Long Under Current Ownership: ________________________________________________ How Long at this Address: ________________________________________________________ Federal Tax ID#: _________________________________________________________________ Ownership: Proprietorship ____ Partnership ____ Corporation ____ Non-Profit ____ Principle Name/Title: ____________________________________________________________ Social Security Number: __________________________________________________________ Percent Owned: ___________________________________________________________________ PERSONAL INFORMATION: Home Address: ____________________________________________________________________ Zip Code: ___________________ State:_____________________________________________ Phone Number: (_______)___________________________________________________________ TRADE REFERENCES: Company Name: ____________________________________________________________________ Address: _________________________________________________________________________ Zip Code: ___________________ State:______________________________________________ Contact Person: __________________________________________________________________ Phone Number: (_______)___________________________________________________________ Company Name: ____________________________________________________________________ Address: _________________________________________________________________________ Zip Code: ___________________ State:_____________________________________________ Contact Person: __________________________________________________________________ Phone Number: (_______)___________________________________________________________ Company Name: ____________________________________________________________________ Address: _________________________________________________________________________ Zip Code: ___________________ State:_____________________________________________ Contact Person: __________________________________________________________________ Phone Number: (_______)___________________________________________________________ BANK REFERENCE: Bank Name: _______________________________________________________________________ Contact Person: __________________________________________________________________ Phone Number: (_______)___________________________________________________________ Account Number: __________________________________________________________________ LEASE PREFERENCES: Lease Plan: ( )1st & last payments down ( )10% Down ( )90 Days Deferred Lease Amount: $__________________ Lease Term: ________ Signature: _______________________________________________ Date: _______________