Performance Tire LLC dba Wheel Replicas

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Performance Tire LLC dba Wheel Replicas. 27231 Highway 90 Blvd dba SSS Exhaust. Katy, TX 77494 dba Lone Star Wheels. Phone 281-391-3056 Fax: ...
Performance Tire LLC dba Wheel Replicas

27231 Highway 90 Blvd dba SSS Exhaust

Katy, TX 77494 dba Lone Star Wheels

Phone 281-391-3056 Fax: 281-574-3138

WHOLESALE DEALER APPLICATION

|Business | |Fed ID| | |Name | |# | | | Type of | Sole Proprietorship Partnership | Date | | |Business |LLC Corporation |Incorporated | | | | |(00-00-00) | | |Describe | |Years in | |Years | | |Business | |Business | |Experience | | |Annual Sales|<250K 250K-500K 500K-1MM | | | | |1MM-3MM 3MM+ | | | |Mailing | |Phone # | | |Address | | | | |Physical | |Fax # | | |Address | | | | |Previous | | |Address | |

|Personal Information of Owner, Officers, Partners or Guarantors - List ALL | | Principal/Owner’s | | Home |Social | |Name |Home Address |Phone |Security # | | | | | | | | | | | | | | | |

|Trade and Finance References | | Name of | Account |Date | Phone | |Reference | |Opened |# | | | | | | | | | | |

|Personal Guaranty | | | |I / We, the undersigned, for and in consideration of guarantee credit to | |________________________________________ (the above mention business) hereby| |personally guarantee payment of all charges made to the above mentioned | |business together with interest, attorney fees, and the cost of collection. | |Date Signed |Guarantor Signature |Name Printed | | | | | | | | |

|Credit Card Information | |In addtion to all the terms set forth in the credit aggreement, I hereby | |authorize Performance Tire LLC to charge all amounts which are charged on my | |account to the following charge cards. If any portion of my account is not | |paid within the terms. | |Card Type |Name on Card |Account # |Expiraton | | | | |Date | | | | | | |Billing | | |Address | |

|This application is given for the purpose of obtaining wholesale and/or retail| |distribution. I hereby certify under penalty of law that the foregoing is a | |true and complete statement of my/our financial condition. In the event of any| |material change in my/our financial condition, I will notify Performance Tire | |LLC immediately in writing. I understand that individual credit histories may| |be a determining factor in the evaluation of this application. I grant | |permission to Performance Tire LLC to obtain a personal credit report on all | |of the individuals listed above. | | | |Date: ______________________________ Signature: | |_______________________________________________________________ |

PERFORMANCE TIRE LLC 27231 Highway 90 Blvd, Katy, TX 77494 Phone: 281-391-3056 Fax: 281-574-3138

Release

My/Our application was given for the purpose of obtaining wholesale and resale distribution rights to Performance Tire LLC products, dba Wheel Replicas, dba Lone Star Wheels, dba SSS Exhaust.

I understand and agree that Performance Tire LLC may assign or transfer this application and may also communicate the information contained herein and obtained through purchasing history to others to decide whether or not to extend credit.

I hereby certify, under penalty of law, that the information that is contained in my/our application is a true and complete statement of my/our financial condition. In the event of any material change in my/our financial condition, I/we will immediately notify Performance Tire LLC in writing.

I authorize the bank and business references, as well as any of my/our lessors, landlords and any other past or present creditors to give any and all necessary information to Performance Tire LLC and to their assignees or transferees, which will assist Performance Tire LLC in my/our credit inquiry.

I understand that Performance Tire LLC may close my/our account at any time.

I authorize that all and any past due amounts will be the responsibility of all applicants and principal/owners within this application. Each individual below (each, a "Guarantor") jointly and severally personally guaranties the payment and performance of Company under this Agreement. Each Guarantor agrees that this guaranty is an absolute, complete and continuing guaranty of performance and payment. Each Guarantor agrees to pay any amounts within five days notice that such amounts are past due. All and any past due amounts may be collected without notice upon 30 days from date of invoice.

The undersigned individual, recognizes that their individual credit history may be a factor in the evaluation of the application.

I hereby consent to and authorize Performance Tire LLC and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned individual(s), now and from time to time, as may be needed in the credit evaluation and review process.

I waive any right or claim I/we would otherwise have under the Fair Credit Reporting act in the absence of this continuing consent.

Date: _______________________

Principal/Owner’s Name (Printed): _______________________________________

Principal/Owner’s Signature: _______________________________________

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