Application for credit

Phone:803.233.6472

Fax:803.233.4482

email: creditapps@hillsmachnery.com

For official use only:

Account#__________ Sales Rep:________

General Information: Please print or type

Date:_______________________________

Legal Business Name:____________________________________

City:_____

State:____

______ZIP:

________

Physical Address:_______________________________________

City:_____

State:____

______ZIP:

________

Billing Address:__________________________________________

City:_____

State:____

______ZIP:

________

Email Address:_________________________________Web address:__________________________________

Description of business:______________________Business Start Date:________________# Employees______

Type of Business: [ ] Sole proprietorship [ ] Corporation [ ] General Partnership [ ] LLC [ ] Other

If incorporated,Date_________________ State_________If LLCPlease attach Articles of Organization & Operating Agreem

Nature of business: [ ] Site prep [ ] Mining [ ] Farming [ ] Trucking [ ] Forestry [ ] Government

[ ]Landscaping [ ] Manufacturing [ ]Equip Rental House [ ]Equip Repair

[ ]Indust Repair [ ]Indust Contract [ ]Water/Sewer/Utility [ ]Heavy Equip [ ] Building Construction

Who would be the proper person to contact regarding machinery rentals/purchases?

Name:________________________Title:____________________Phone#:______________________

Has the business ever declared bankruptcy? [ ] yes [ ] no Are there any outstanding liens or judgements? [ ] yes [ ]no

Federal ID #___________________A/P Contact____________________Phone #________________

PO Required [ ]yes [ ]no

Tax Exempt? [ ]yes [ ]no If yes, please attach

Bonding Company:____________________Contact:_________________ Phone #_______________

Insurance Company:___________________Contact:__________________Phone#___________________

List Corporate Officers, Owners, Partners

Name

Title

SSN

__________________________________________________________________________________

Personal information on owners/principals/guarantors:

Name/Title:___________________________________DOB_________________SSN_____________

Home Address:_____________________________Phone#_________________% ownership_______

Net Worth$______________Annual Income$_______________Monthly House payment$_________

Name/Title:___________________________________DOB_________________SSN_____________

Home Address:_____________________________Phone#_________________% ownership_______

Net Worth$______________Annual Income$_______________Monthly House payment$_________

Financial Information:

Bank, Finance Company, Contact, Phone#

1________________________________[ ] checking [ ]savings [ ]loan account #______________

2________________________________[ ] checking [ ]savings [ ]loan account #______________

Trade References:

Name of Supplier: City State Contact Phone #

1_________________________________________________________________________________

2_________________________________________________________________________________

3_________________________________________________________________________________

Terms and Conditions of Credit

I/We hearby make this application to Hills Machinery Company, LLC ("Hills") for credit. If credit is

granted, I/we agree to pay all bills inaccordance with the stated terms of the sale. I/We understnd

that terms may vary depending on the type of the purchase. If the purchase is for parts/service/rental

on an open account, payment will be on or before the 30th day following the date of the invoice.

For an equipment purchase on an open account payment is due within 24 hours of invoice unless

otherwise stated on the invoice. For installment sales contracts, payment is due in accordance

with the terms of the contract. A service charge of 1.5% per month will be charged on all balances

exceeding terms and this charge does not relieve me of my obligation to pay for puchase when due.

I/We understand and agree that this interest is subject to adjustment by Hills, without further notice

to the undersigned. Applicant and each other person signing this application, warrants that the infor-

mation provided herein or in connection with this application is true and correct and authorizes Hills

and/or any party which may provide credit to Applicant hereunder to obtain from banks, credit

bureaus, and other creditors, all of which are hereby authorized to release any financial information

concerning Applicant or other person (including personal; credit bureau reports) as such party may

deem appropriate, and to share all such information with the other. I/We furthermore agree to

hold free from liability all creditors and other persons who may respond to inquiries made by Hills.

I/We understand that we must notify in writing and by certified mail any changes in the ownership,

name of the business under which credit is established. I/We understand that our account privi-

ledges may be cancelled at any time at the discretion of Hills. If for any reasons the account has

to be placed with an attorney for collection, Hills shall be entitled to reasonable attorney's fees plus

all costs of collections including expenses. I/We agree jointly and severally to pay any and all

sums that may become payable under this account for any sale or rental to the applicant or to any

person with apparent authority to utilize this account. This is for commercial use.

NOTICE TO APPLICANT-DO NOT SIGN THIS AGREEMENT UNTIL YOU HAVE READ IT.

IF CORPORATION: MUST HAVE SIGNATURE OF AUTHORIZED OFFICER; HERE AND BELOW

IF A PARTNERSHIP: MUST HAVE SIGNATURE OF ALL PARTNERS; HERE AND BELOW

IF INDIVIDUAL: MUST HAVE HAVE SIGNATURE OF INDIVIDUAL; HERE AND BELOW

_______________________________________________________ _________________________________

Applicant's signature Title

FOR VALUE RECEIVED AND IN CONSIDERATION OF THE CREDIT HERETOFOR AND HERE-

AFTER EXTENDED TO

Legal Business Name________________________________________________________("Debtor")

by Hills Machinery Company, LLC ("Hills"), the undersigned, whether one or more, jointly, severally,

and unconditionally as primary obligors, guarantee the full and prompt payment upon demand when

due of all indebtedness now owing by Debtor to Hills; and the undersigned further agree that such

guarantee is a continuing guarantee of all indebtedness of Debtor to Hills hereafter incurred during

the exsistance hereof, and that it shall be conclusively presumed that all extensions of credit and

financial accomodations by Hills to Debtor made concurrently herewith or hereafter were made in

reliance upon this Guarantee Agreement. This guarantee shall continue until such time as the

undersigned give written notice of termination by actual delivery hereof to Hills; provided, that such

notice shall not be effective as the termination of this guarantee as to any indebtedness then

owing to Hills by Debtor, but this guarantee shall continue as to any such indebtedness untill the

same is fully paid, discharged and satisfied. The Undersigned hereby waives notice of acceptance

of this guaranty, notice of the accrual, renewal, and extension of Debtor's indebtedness and notice

of Debtor's default. In the event Hills enforces this Guarantee by suit, or by claim in the probate

or bankruptcy courts, Undersigned agree to pay Hills reasonable attorney's fees, as well as all costs

incurred by Hills in connection with such enforcement. As used herein "indebtedness" means and

includes every claim, demand, right and/or cause of action of every kind or character and all exten-

sions and renewals thereof, whether arising by reason of sales of goods, merchandise or services

on open account, promissory notes, interest, expressed or implied contracts, or tort, or any other

matter, or whether constituting a joint or several, direct or indirect, primary or secondary, liability

of Debtor to Hills. "Undersigned", means and includes every person executing this guarantee, his

heirs, successors, executers and administrators. "Hills" means and includes Hills Machinery

Company, LLC, corporate subsidiaries, its corporate successors, and in the event it assign all or

any part of Debtor's indebtedness, then so far as the assigned portion thereof, its assigns. All

obligations of the undersigned under this Guaranty are to be performed at the offices of Hills or by

a designated agent in Columbia, SC.

EXECUTED EFFECTIVE This ___________day of____________________,year_____________

Guarantor-__________________________________________An individual