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us business credit application page 1 of 2 553 carroll st akron oh 44304 usa toll free 1-800-426-5273 international 1-330-535-7105 standard fax 1-330-535-1125 digital fax 1-702-441-0320 www.murdockindustrial.com murdock industrial company name you must be in business at least 3 years to apply for credit your credit history must be in great to excellent standing failure to give all data requested can result in denial of credit requested credit amount please make sure phone and fax info for bank and open account references are current and accurate it is standard practice for murdock industrial inc that your first order is paid by credit card we will review your accounts with trade references that you have listed and keep your information in the strictest of confidence applicant certifies that the all of the following information is true and correct applicant also represents and agrees 1 that the merchandise to be purchased and the credit requested are solely for business or commercial purposes and not for personal family or household purposes 2 that invoices are net and due 30 days from invoice date 3 that any invoiced amounts not paid within 30 days after the date due shall bear interest at the maximum nonusurious rate permitted by law from the date due until paid 4 to pay any and all costs of collection including without limitation reasonable attorney s fees incurred by murdock indusrtrial in collecting any overdue account and 5 that you are authorizing murdock industrial to contact the above references as well as any credit reporting services other sources in determining whether to extend credit to applicant and to report information regarding applicant s account 6 all legal matters pertaining to uncollected funds will be handled through the ohio court system regardless of the applicants location if this order is for resale your vendors license is issued in the state of false statements on this credit application will be reported to the better business bureau of you state and city and by applying for credit with murdock industrial inc you agree that your payment history with us can be transmitted to dunn and bradstreet and other payment indicator companies you also agree that if you use us as a trade reference that your true payment history may be given your business credit line may be increased or decreased or cancelled at any time for any reason do you agree to the terms of net 30 which means 30 days after your are invoiced payment will be received by murdock in full and that any discrepancies in shipping or billing will be brought to our attention within 5 business days of receipt of product or services yes no owner/business primary full name owner/business primary home address owner/business primary cell phone www.aeroquip.cc www.hosemachine.com www.emurdock.com www.adaptersinc.com www.hosedog.com

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us business credit application page 2 of 2 553 carroll st akron oh 44304 usa toll free 1-800-426-5273 international 1-330-535-7105 standard fax 1-330-535-1125 digital fax 1-702-441-0320 www.murdockindustrial.com murdock industrial company name business ein number phone number fax number billing address city state zip type of ownership corporation government partnership non-profit shipping address city state zip years in business sole proprietor tax exempt yes no if yes please include resale card with application parent company names if different than above address fax number city state zip 1 name phone number fax number account number contact 2 name phone number fax number account number contact bank references open accounts references 1 name phone number fax number address city state zip 2 name phone number fax number address city state zip 3 phone number fax number name address city state zip authorized signature print name date title date approved by office use only credit limit www.aeroquip.cc www.hosemachine.com www.emurdock.com www.adaptersinc.com www.hosedog.com

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state of ohio department of taxation sales and use tax blanket exemption certificate the purchaser hereby claims exception or exemption on all purchases of tangible personal property and selected services made under this certificate from vendor s name and certifies that the claim is based upon the purchaser s proposed use of the items or services the activity of the purchaser or both as shown hereon purchaser must state a valid reason for claiming exception or exemption purchaser s name street address city signature and title date signed state zip vendor s license number if any vendors of motor vehicles titled watercraft and titled outboard motors may use this certificate to purchase these items under the resale exception otherwise purchasers must comply with rule 5703-9-10 of the administrative code this certificate cannot be used by construction contractors to purchase material for incorporation into real property under an exempt construction contract construction contractors must comply with rule 5703-9-14 of the administrative code.

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