Credit Application

Dear Prospective Customer,

Please complete the following credit application and contact information for the person/s responsible for accounts payable. After receiving and reviewing your credit application we will set terms for your business and send you a welcome letter outlining those terms, describing payment options and giving you contact information for various people in our organization. We look forward to the opportunity to work with you.

Regards,
Matt Anderson
Credit Manager

Neesvigs/Empire Fish
608-842-0947
manderson@neesvigs.com

Neesvig's Food Service Credit Application

Step 1 of 5

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NEESVIG’S, INC. AND MEYER FOODSERVICE, LLC, dba Empire Fish Company APPLICATION FOR CREDIT
TO OBTAIN CREDIT FROM CREDITOR, CUSTOMER AGREES TO THE TERMS SET FORTH BELOW AND TO CREDITOR’S USUAL TERMS AND CONDITIONS OF SALE AS PROMULAGATED AND AMENDED BY CREDITOR FROM TIME TO TIME; AND CUSTOMER REPRESENTS AND STATES THE FOLLOWING, AND AUTHORIZES RELEASE OF ANY INFORMATION PERTAINING TO CUSTOMER’S FINANCIAL CONDITIONS FROM ANY THIRD PARTIES WHICH MAY VERIFY SAME:

“CREDITOR” is NEESVIG’S, INC., MEYER FOODSERVICE, LLC, dba Empire Fish Company, and their subsidiaries and affiliates and successors and assigns. “CUSTOMER” is the entity or individual noted in the “Business Name” and the related “Corporation,” “Limited Liability Co.,” “Partnership” or “Sole Owner” sections listed below, and their subsidiaries and affiliates and successors and assigns.
Business Information
Business Name ("Customer")*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Business Email*
Tax Exempt #

Business Type*
Number of Partners
Sole Ownership Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State ZIP Code
Partner #1
Partner Name
First Last
Partner Social Security #
Partner Phone
Partner Address
Street Address Address Line 2 City State ZIP Code
Partner #2
Partner Name
First Last
Partner Phone
Partner Social Security #
Partner Address
Street Address Address Line 2 City State ZIP Code
Partner #3
Partner Name
First Last
Partner Phone
Partner Social Security #
Partner Address
Street Address Address Line 2 City State ZIP Code
Corporation Information
Corporate Name ("Customer")
FEIN #
State of Incorporation
State
President's Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Vice President's Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Limited Liability Co. Information
LLC Name ("Customer")
Number of Members
FEIN #
State of Organization
State
Member Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Member Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Member Information
Name
First Last
Social Security #
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1. THIS CREDIT APPLICATION MAY BE EXECUTED IN ONE OR MORE COUNTERPARTS, ALL OF WHICH SHALL CONSTITUTE ONE AND THE SAME DOCUMENT. SIGNATURES TRANSMITTED, AFFIXED OR LOGICALLY ASSOCIATED HEREWITH BY FACSIMILE, EMAIL OR OTHER ELECTRONIC MEANS SHALL BE DEEMED TO BE ORIGINAL SIGNATURES.

2. ALL GOODS RECEIVED FROM CREDITOR MUST BE IMMEDIATELY INSPECTED UPON RECEIPT BY CUSTOMER AND IF ANY OF SUCH GOODS ARE NOT ACCEPTABLE TO CUSTOMER FOR ANY REASON, CUSTOMER MUST IMMEDIATELY NOTIFY CREDITOR’S CREDIT MANAGER AT THE ADDRESS SET FORTH ABOVE OF CUSTOMER’S OBJECTION TO THE QUALITY OR QUANTITY OF SAID GOODS. IF CUSTOMER DOES NOT NOTIFY CREDITOR OF CUSTOMER’S OBJECTION WITHIN 24 HOURS OF RECEIPT OF SUCH GOODS, CUSTOMER WAIVES ALL CLAIMS AGAINST CREDITOR INCLUDING, WITHOUT LIMITATION, CLAIMS FOR SHORTAGES OR DEFECTS IN THE GOODS DELIVERED.

3. CUSTOMER AGREES TO PAY SERVICE CHARGES OF 1.5% PER MONTH OR THE HIGHEST RATE ALLOWED BY LAW (WHICHEVER IS THE LESSER) FROM THE DUE DATE OF EACH INVOICE TO DATE OF PAYMENT. IN THE EVENT CUSTOMER’S ACCOUNT IS PLACED FOR COLLECTION, CUSTOMER AGREES TO COLLECTION AND/OR ATTORNEY FEES OF 25% OF THE AMOUNT OWED. CUSTOMER AGREES: THAT ANY DEALINGS BETWEEN THE PARTIES SHALL BE GOVERNED BY AND INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF WISCONSIN WITHOUT REGARD TO CONFLICTS OF LAW PROVISIONS; THAT VENUE FOR ANY LEGAL PROCEEDINGS TO DETERMINE ANY CONTROVERSY ARISING IN THEIR DEALINGS SHALL, AT CREDITOR’S OPTION, BE IN A STATE OR FEDERAL COURT LOCATED IN MILWAUKEE COUNTY OR DANE COUNTY, WISCONSIN; THAT CUSTOMER CONSENTS TO AND SUBMITS TO THE PERSONAL AND SUBJECT MATTER JURISDICTION OF SUCH COURTS; AND THAT NOTHING HEREIN WILL LIMIT CREDITOR’S RIGHT TO BRING PROCEEDINGS AGAINST CUSTOMER IN THE COMPETENT COURTS OF ANY OTHER JURISDICTION OR JURISDICTIONS.

4. PERSONAL GUARANTY. IN CONSIDERATION OF CREDITOR EXTENDING CREDIT TO CUSTOMER, THE UNDERSIGNED PERSONALLY AND INDIVIDUALLY GUARANTEE UNCONDITIONALLY FULL AND PROMPT PAYMENT OF PAST, PRESENT AND FUTURE OBLIGATIONS AND TERMS DUE CREDITOR FROM CUSTOMER, AND/OR ANY SUCCESSOR IN INTEREST (CORPORATE OR NON CORPORATE) TO CUSTOMER’S BUSINESS, HEREBY WAIVING NOTICE OF ACCEPTANCE OF THIS GUARANTY, NOTICE OF RENDERING SERVICES AND/OR SALE OF GOODS PROVIDED CUSTOMER BY CREDITOR AND NOTICE OF DEFAULT OR CHANGE OR EXTENSION OF CREDIT TERMS. THE TERM “OBLIGATIONS” AS USED HEREIN ALSO INCLUDES THE AMOUNT OF PAYMENTS MADE TO CREDITOR BY OR ON BEHALF OF CUSTOMER WHICH ARE RECOVERED FROM CREDITOR BY A TRUSTEE, RECEIVER, CREDITOR OR OTHER PARTY PURSUANT TO FEDERAL OR STATE LAW. THE UNDERSIGNED CONSENT TO ANY EXTENSION OF TIME FOR PAYMENT AND ASSERT THAT THIS IS A CONTINUING GUARANTY OF PAYMENT TO CREDITOR UNTIL REVOKED IN A WRITING DELIVERED TO CREDITOR’S CREDIT MANAGER AT CREDITOR’S ADDRESS SET FORTH ABOVE; PROVIDED, HOWEVER, THAT THIS GUARANTY SHALL CONTINUE IN FULL FORCE AND EFFECT AS TO OBLIGATION CONTRACTED FOR OR INCURRED BEFORE SUCH REVOCATION.

ALL PARTNERS, MEMBERS OR OFFICERS OF CUSTOMER SHOULD SIGN AND BE BOUND PERSONALLY:
Number of PARTNERS, MEMBERS OR OFFICERS to sign CREDIT APPLICATION AND PERSONAL GUARANTY*
Name*
First Last
Signature

This signature binds the Customer to the terms of this Credit Application and also binds the individual signing to the terms of the personal guaranty in paragraph 4 above.
Please Sign*
Name
First Last
Signature

This signature binds the Customer to the terms of this Credit Application and also binds the individual signing to the terms of the personal guaranty in paragraph 4 above.
Please Sign
Name
First Last
Signature

This signature binds the Customer to the terms of this Credit Application and also binds the individual signing to the terms of the personal guaranty in paragraph 4 above.
Please Sign
Name
First Last
Signature

This signature binds the Customer to the terms of this Credit Application and also binds the individual signing to the terms of the personal guaranty in paragraph 4 above.
Please Sign
Date

BUSINESS REFERENCES; TRADE NAMES; AND OTHER BUSINESS INFORMATION
Bank Information
Business Bank Account & Reference
Bank Address
Street Address Address Line 2 City State ZIP Code
Bank Contact Person
First Last
Phone
Total employees of your business
Year business started
Nature of business
Please list any business trade names
Please list any other business addresses

Contact Information for Accounts Payable
Name*
First Last
Title
Phone*
Email*
Business References
Reference 1
Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Reference 2
Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Reference 3
Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Sales Representative
Customer #

Neesvig's Food Service Credit Application

Step 1 of 5

NEESVIG’S, INC. AND MEYER FOODSERVICE, LLC, dba Empire Fish Company APPLICATION FOR CREDIT

Business Information

Sole Ownership Information

Partner #1

Partner #2

Partner #3

Corporation Information

President's Information

Vice President's Information

Limited Liability Co. Information

Member Information

Member Information

Member Information

Signature

Signature

Signature

Signature

BUSINESS REFERENCES; TRADE NAMES; AND OTHER BUSINESS INFORMATION

Bank Information

Contact Information for Accounts Payable

Business References

Reference 1

Reference 2

Reference 3