IBM Global Financing - IBM WWW Page

IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or div isions worldwide. 1...

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IBM GLOBAL FINANCING U.S. – COMMERCIAL FINANCING APPLICATION Please print or type legibly. INCOMPLETE FORMS WILL DELAY PROCESSING. ATTACH A COPY OF ORGANIZATIONAL DOCUMENTS (e.g. Articles of Incorporation, Articles of Organization, etc.)

1. LEGAL NAME of Applicant Business: Use exact legal name in articles of incorporation/organization; partnerships use exact legal name in partnership agreement Other name(s) business is known as:

Telephone No.: Business is a (mark one):

FAX No.: ( ) Corporation

( ) Partnership

( ) Limited Liability

( ) Proprietorship

( ) Sub Chapter “S”

( ) Business Trust

( ) Other __________________________________

Date Started or Acquired: ____________________ Organization No. (Assigned by State of Organization):_______________ State of Organization/Incorporation: ____________ Type of Credit Line Requested: Plan Type: ( ) Scheduled Payment ( ) Extended Scheduled Payment ( ) Flexible Payment Financing Options: ( ) Large Sale Financing Amount of Credit Line Requested: ____________________ Projected Total Financing Volume: _________________________ _______________________________________________________________________________________________________

2. Principal/Other Locations: (List all other locations including sales offices/warehouses/foreign locations) Principal / HQ

Location 2

Location 3

Street City State, Zip Inventory Location? Own/Rent (If more than three, attach a list of additional locations)

Attach a listing of landlord name, address and telephone number for all business locations in the following states: AL, AZ, DC, DE, FL, GA, IA, KY, LA, MD, MS, NC, NJ, NM, OR, PA, SC, TX, VA, WA, WV

Which individuals are involved in day-to-day operations? ____________________________________________________ Who is your current accounts payable contact? _____________________________________________________________ Who is your purchasing contact? ________________________________________________________________________ Who is authorized under your organizational documents to execute loan agreements and grant liens? (Attach evidence of such authorization.) __________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________

IBM Global Financing Commercial Financing Application IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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IBM GLOBAL FINANCING 3. AFFILIATES / SUBSIDIARIES List all affiliates and subsidiaries, including those located or doing business outside of the U.S.* Name Street Address/City/ State/Zip Nature of Business

% Owned

1.

2.

3.

* If there are more than three, attach an explanation of the corporate structure.

4. BANKING RELATIONSHIPS

-1-

-2-

Bank Address Telephone Account # Contact

5. LARGEST CREDITORS & TRADE REFERENCES

List your four largest creditors, including flooring companies

and excluding the banks above .

Name Address Telephone Account # Contact Name ******************************************************************************************************** The undersigned hereby warrants and represents that all of the information provided herein, including information provided in any Attachment attached hereto, is true and correct in every aspect. The undersigned further hereby warrants and represents that the attached financial statements accurately represent in every respect, the true and correct financial condition of the business entity that is the subject of this application. The undersigned agrees that if IBM Credit LLC determines that any of the information is false or misleading, this will constitute reasonable and valid grounds for revoking all present and future financing and declaring all sums outstanding immediately due and payable. The undersigned hereby authorizes IBM Credit LLC to gather and use, from time to time, without the undersigned’s knowledge, any and all financial and/or credit information relating to the business entity that is the subject of this application that can be obtained from any source whatsoever including, but not limited to, banks, trade associates and creditors. The undersigned also hereby authorizes IBM Credit LLC to investigate the personal credit history of the undersigned and obtain credit bureau reports on the undersigned from time to time at IBM Credit LLC’s sole discretion.

Signature: __________________________________________________

Date:______________________

IBM Global Financing 4111 Northside Parkway Atlanta, GA 30327 (800) 678 6900 IBM Global Financing Commercial Financing Application IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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IBM GLOBAL FINANCING SECTION A.

Attachment A CORPORATIONS ONLY – COMPLETE THIS SECTION.

(A copy of the Articles of Incorporation must be provided) State of Incorporation:

Date Incorporated:

Federal Tax No:

[ ] One officer only; or list officers below.

Officers

Name

Home Telephone

President Vice President Treasurer Secretary Other

Stockholders*

Stockholder 1

Stockholder 2

Stockholder 3

Stockholder 4

Name % Owned Social Security # Home Address City, State & Zip Code Home Telephone List any Joint Owners * List only those stockholders who own ten percent (10%) or more of the outstanding shares. Each stockholder who owns 10% or more of the outstanding shares of the business authorizes IBM Credit LLC, by signing below, to investigate its personal credit history and obtain credit bureau reports from time to time at IBM Credit LLC’s sole discretion. Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________ Stockholder Signature: _______________________________________________________________________________

IBM Global Financing Commercial Financing Application IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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IBM GLOBAL FINANCING (Attachment A, cont.)

SECTION B.

LIMITED LIABILITY COMPANIES ONLY – COMPLETE THIS SECTION. (A copy of

the Articles of Organization must be provided. Also, please attach a copy of the operating agreement.) State of Organization:

Date Organized:

Federal Tax No:

[ ] One member only, or list members below.

List Member Information Name Managing Member? Yes/No % Owned Address City, State & Zip Code Telephone If Member is an individual, provide Social Security # * List only those members who own ten percent (10%) or more of the outstanding shares. If more than three, list on separate sheet. Each individual member owning 10% or more of the outstanding shares of the business authorizes IBM Credit LLC, by signing below, to investigate its personal credit history and obtain credit bureau reports periodically at IBM Credit LLC’s sole discretion. Member Signature: _______________________________________________________________________________ Member Signature: _______________________________________________________________________________ Member Signature: _______________________________________________________________________________ Member Signature: _______________________________________________________________________________

List Officers:

Name

Home Telephone

President Vice President Treasurer Secretary Other

Managing Committees: ___________________________________________________________________ IBM Global Financing Commercial Financing Application IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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IBM GLOBAL FINANCING (Attachment A, cont.)

SECTION C.

PARTNERSHIPS ONLY - COMPLETE THIS SECTION. (Attach a copy of Partnership Agreement if one exists): Partner 1

Partner 2

Partner 3

Name % Owned Social Security # Home Address City, State, Zip Code Home Telephone Name of Spouse Social Security # (Spouse) If this is a Limited Partnership, please name the general partner: _________________________________ ____________________________________________________________________________________________________________

SECTION D.

SOLE PROPRIETORSHIPS ONLY – COMPLETE THIS SECTION. Owner

Spouse

Bank Account

Name Social Security # Account # Address City, State/Zip Telephone

IBM Global Financing Commercial Financing Application IBM Global Financing offerings are provided through IBM Credit LLC in the US, IBM Canada Ltd. and other IBM subsidiaries or divisions worldwide.

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