CREDIT APPLICATION

Please complete the form below and click Submit.

If you prefer to print and fill out the application via pdf, click here. Once completed, you can email the application to creditapp@umistone.com.

Credit Application & Guaranty of Debt

"*" indicates required fields

UMI Account Manager (if known)

Date of Application

COMPANY NAME OF APPLICANT (AS PER THE SECRETARY OF STATE RECORDS)

Must be active on SunBiz*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Must provide a physical address in addition to a P.O. Box

FAX

PHONE

PROPRIETORSHIP

CORPORATION

PARTNERSHIP

DATE BUSINESS BEGAN OR INCORPORATED

NAME(S) OF PREVIOUS BUSINESSES

ARTICLE OF INCORPORATION NUMBER*

or D-U-N-S # (If available)

NAME OF FABRICATOR (IF APPLICABLE)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Fax

Phone

PRINCIPAL DEBTOR: (AS PER THE SECRETARY OF STATE RECORDS)

NAME & TITLE

ACCOUNTS PAYABLE CONTACT

Phone

CONSTRUCTION TRADE INFORMATION (References required if applying for Check On Delivery (COD) or Terms)

BUSINESS NAME

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

BUSINESS NAME

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

BUSINESS NAME

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

REQUESTED CREDIT LIMIT

TERMS REQUESTED

ACCOUNT AGREEMENT (Required if Terms are requested)

The below is only required if you are applying to pay with a Check at Delivery (COD) or have requested any terms on the account.

Principal Debtor Name (As per the Secretary of State Records)

Consent

I agree to the privacy policy.

*I/We, Applicant principal account debtor and the undersigned guarantor(s) authorize Seller to obtain Business and Consumer credit Reports on Applicant(s) listed above

I understand that if my account is inactive for two years, it will be suspended until a new application is submitted. I / We agree to make payment according to approved terms and understand that there will be a 90 day probationary period to ensure payments are met in accordance with said terms (if requested). If terms are not requested the account will fall under Pre-Pay, which can include ACH/Wire, Credit Card and Cashier's Check.

If any time I / We fail to make payments as agreed upon , it is understood that the account may become Pre-Pay based upon payment history. I / We understand that any past due invoices may suspend credit sales and a 1 1/2 per month service charge shall be added, pre and post judgement, to the amount past due. I / We further agree to pay all costs and expenses incurred in endeavoring to collect said obligation from Debtor and / or the undersigned guarantor(s) including, but not limited to, lien fees in the amount of $200.00 per lien filed as a result of my untimely or non-payment of obligations arising hereunder, and attorney’s fees or 15% of the total amount of the principal, interest and charges due from Debtor should the same be collected by or through an attorney at law, whether collected by suit or otherwise. Should I / We fail to lawfully answer any such lawsuit or action, the same shall constitute a further waiver and relinquishment of any right in the undersigned guarantor(s) to any hearing or other proceedings relative to proof of the amount of the obligation. Any action seeking to collect on the account contemplated in this Agreement, enforce any provision of or based on any matter arising out of, or in connection with, this Agreement or the transactions contemplated hereby, may be brought in any state court located in the County of Dekalb, State of Georgia, or in the United States District Court, northern District of Georgia, and each party hereto consents to the jurisdiction and venue of such court and the appropriate appellate courts therefrom in any such action and irrevocably waives, to the fullest extent permitted by law, any objection that it may now or hereafter have to the personal jurisdiction and venue of such court and to any claim of inconvenient forum, UMI, LLC. is hereby authorized to deliver goods without signature and to perform services at my request, and to change same to my account. I / We understand and agree that any and all returned goods must have prior written consent from UMI, LLC., be unused and in the original condition and be subject to a restocking charge of the invoiced amount to be paid to UMI, LLC. at the time said goods are returned which must be within 30 days of delivery. I / We agree that any and all objections to any statement, invoice, materials or services provided by UMI, LLC. to me by personal delivery or regular mail, which shall be deemed delivered 3 days from the date of mailing or post mark, shall be made in writing within three days of receipt of the statement, invoice, materials or services, and shall be made via Certified Mail Returned Receipt Requested or commercial courier or all such objections are waived. I / We agree that the laws of the State of Georgia shall govern this Application. This agreement shall continue until written notice to the contrary is given and accepted and said acceptance evidenced by letter from UMI, LLC. may change credit limits or terms at any time, at its sole discretion.

Witness Printed Name

First Last

Witness Signature

Date

Principle Applicant / Account Debtor Printed Name

First Last

Principal Applicant / Account Debtor Title

Principal Applicant / Account Debtor Signature

PERSONAL GUARANTY (Optional)

In consideration of credit extended by UMI, LLC., hereinafter referred to as Oblige, to the applicant principal account debtor identified on the credit application and account agreement appearing on this document, which account agreement and credit application, including all terms of agreement, are incorporated herein by this reference so as to identify the principal debtor to which this guaranty applies, and to incorporate the terms of agreement, the undersigned does hereby, absolutely and unconditionally guarantee jointly and severally, as surety, the prompt and unconditional payment of the account obligations of the applicant / principal debtor which are now or may hereafter become due. the undersigned guarantor(s) waive(s) sufficient homestead exemption to cover the debt and / or any collateral herein and the undersigned further waive(s) any other exemption(s) which the undersigned is (are) or may be entitled to by virtue of the Constitution of the laws of Georgia or the United States of America, or any other State of the united States of America to pay the indebtedness herein, principal, interest, charges, attorney’s fees and costs. Notice of acceptance, protest, presentment, and demand for payment, notice of default of non-payment and of dishonor are hereby waived. The undersigned expressly agree that any lawsuit or action hereunder may be brought directly against the undersigned without first proceeding against the applicant / principal debtor. Should I / We fail to lawfully answer any such lawsuit or action, the same shall constitute a further waiver and relinquishment of any right in the undersigned guarantor(s) to any hearing or other proceedings relative to proof of the amount of the obligation. Any action seeking to collect on the account contemplated in this Agreement, enforce any provision of, or based on any matter arising out of, or in connection with, this Agreement or the transactions contemplated hereby, may be brought in any state court located in the County of Dekalb, State of Georgia, or in the united States District Court, northern District of Georgia, and each party hereto consents to the jurisdiction and venue of such court and the appropriate appellate courts therefrom in any such action and irrevocably waives, to the fullest extent permitted by law, any objection that it may now or hereafter have to the personal jurisdiction and venue of such court and to any claim of inconvenient forum. no release of the undersigned shall arise from any action of the Oblige which, but for this provision, would be deemed legal or equitable discharge of a surety or guarantor, or by reason of any waiver, extension, modification, forbearance or delay or any other act or omission of Oblige or, whether or not such act expressly waives and surrenders any defense to this liability based upon any of the foregoing acts, omissions, agreements or waiver; it being the purpose and intent of the undersigned that the covenants hereunder are absolute, unconditional and irrevocable. Oblige May without notice of any kind to the undersigned sell, assign or transfer all of its rights arising under the account agreement and the agreement contained herein.

Witness Printed Name

First Last

Witness Signature

Guarantor Printed Name

First Last

Date

Guarantor Signature

Date

CREDIT APPLICATION

Please complete the form below and click Submit.