Account Application


Business Information

Business Name:

Delivery Address:

, ,

Phone:

Fax:

Original Date Opened for Business: 01-01-1970

Date Current Owners Assumed Ownership: 01-01-1970

Billing

Billing Address:
Carmel
46077, 3176633296 IN

Phone:

Fax: 08/2002

 

Accounts Payable: 2002-08-13

Phone number for billing contact:

Accounts Payable Email Address: 9650 Commerce Drive

Legal Entity

Legal Entity Name: IN

Legal Entity Address:
3176633296
, Greg Benedict 3176633296

Business is a: 3176633296

Please bill at:

Have you or any other principals participated in either a corporate or personal bankruptcy in the past 10 years?: TGFI Inc

If yes, please explain:
9650 Commerce Drive

Are you a former Delco customer? Carmel

Account Number: IN

Address / City: 46032


Owner Details

Owner #1

Name: No

Title:

Address:
No
,

Email:

Home Phone: 22

Cell Number:

Owner #2

Name: Delco

Title: Theresa Wells

Address:
Suite 511
Carmel, IN 46032

Email: 3176633296

Home Phone:

Cell Number: Delco2

Owner #3

Name: Carmel

Title: IN

Address:
46032
3176633296, Delco3

Email:

Home Phone: 9650 Commerce Drive, Suite 511

Cell Number: Carmel


Trade References

Reference 1

Business Name:

Contact:

Address:

,

Phone:

Fax:

Reference 2

Business Name: 9650 Commerce Drive, Suite 511

Contact: 2017-07-16

Address:
0110-10-0110
, [{"lx":126,"ly":26,"mx":126,"my":25},{"lx":126,"ly":25,"mx":126,"my":26},{"lx":126,"ly":28,"mx":126,"my":25},{"lx":128,"ly":34,"mx":126,"my":28},{"lx":133,"ly":41,"mx":128,"my":34},{"lx":142,"ly":48,"mx":133,"my":41},{"lx":156,"ly":57,"mx":142,"my":48},{"lx":170,"ly":64,"mx":156,"my":57},{"lx":179,"ly":68,"mx":170,"my":64},{"lx":192,"ly":73,"mx":179,"my":68},{"lx":202,"ly":77,"mx":192,"my":73},{"lx":210,"ly":81,"mx":202,"my":77},{"lx":217,"ly":84,"mx":210,"my":81},{"lx":222,"ly":86,"mx":217,"my":84},{"lx":229,"ly":89,"mx":222,"my":86},{"lx":235,"ly":92,"mx":229,"my":89},{"lx":240,"ly":93,"mx":235,"my":92},{"lx":242,"ly":93,"mx":240,"my":93},{"lx":243,"ly":93,"mx":242,"my":93},{"lx":244,"ly":93,"mx":243,"my":93},{"lx":240,"ly":55,"mx":240,"my":54},{"lx":233,"ly":58,"mx":240,"my":55},{"lx":217,"ly":65,"mx":233,"my":58},{"lx":192,"ly":79,"mx":217,"my":65},{"lx":169,"ly":90,"mx":192,"my":79},{"lx":137,"ly":106,"mx":169,"my":90},{"lx":110,"ly":119,"mx":137,"my":106},{"lx":89,"ly":130,"mx":110,"my":119},{"lx":76,"ly":136,"mx":89,"my":130},{"lx":70,"ly":138,"mx":76,"my":136},{"lx":68,"ly":139,"mx":70,"my":138}]

Phone:

Fax: 9650 Commerce Drive

Reference 3

Business Name:

Contact: Yes

Address:

test,

Phone: [{"lx":108,"ly":36,"mx":108,"my":35},{"lx":108,"ly":38,"mx":108,"my":36},{"lx":112,"ly":49,"mx":108,"my":38},{"lx":118,"ly":60,"mx":112,"my":49},{"lx":133,"ly":82,"mx":118,"my":60},{"lx":148,"ly":100,"mx":133,"my":82},{"lx":161,"ly":116,"mx":148,"my":100},{"lx":171,"ly":127,"mx":161,"my":116},{"lx":181,"ly":136,"mx":171,"my":127},{"lx":186,"ly":140,"mx":181,"my":136},{"lx":190,"ly":142,"mx":186,"my":140},{"lx":192,"ly":143,"mx":190,"my":142},{"lx":192,"ly":142,"mx":192,"my":143},{"lx":192,"ly":140,"mx":192,"my":142},{"lx":191,"ly":139,"mx":192,"my":140},{"lx":201,"ly":57,"mx":201,"my":56},{"lx":194,"ly":60,"mx":201,"my":57},{"lx":185,"ly":66,"mx":194,"my":60},{"lx":165,"ly":81,"mx":185,"my":66},{"lx":141,"ly":101,"mx":165,"my":81},{"lx":114,"ly":124,"mx":141,"my":101},{"lx":91,"ly":146,"mx":114,"my":124},{"lx":80,"ly":159,"mx":91,"my":146},{"lx":236,"ly":55,"mx":236,"my":54},{"lx":236,"ly":54,"mx":236,"my":55},{"lx":237,"ly":56,"mx":236,"my":54},{"lx":240,"ly":60,"mx":237,"my":56},{"lx":244,"ly":65,"mx":240,"my":60},{"lx":248,"ly":71,"mx":244,"my":65},{"lx":255,"ly":78,"mx":248,"my":71},{"lx":260,"ly":84,"mx":255,"my":78},{"lx":264,"ly":90,"mx":260,"my":84},{"lx":266,"ly":93,"mx":264,"my":90},{"lx":266,"ly":95,"mx":266,"my":93},{"lx":265,"ly":97,"mx":266,"my":95},{"lx":263,"ly":98,"mx":265,"my":97},{"lx":259,"ly":100,"mx":263,"my":98},{"lx":250,"ly":102,"mx":259,"my":100},{"lx":239,"ly":104,"mx":250,"my":102},{"lx":229,"ly":107,"mx":239,"my":104},{"lx":224,"ly":109,"mx":229,"my":107},{"lx":219,"ly":111,"mx":224,"my":109},{"lx":217,"ly":113,"mx":219,"my":111},{"lx":216,"ly":114,"mx":217,"my":113},{"lx":216,"ly":115,"mx":216,"my":114},{"lx":216,"ly":116,"mx":216,"my":115},{"lx":217,"ly":118,"mx":216,"my":116},{"lx":219,"ly":120,"mx":217,"my":118},{"lx":223,"ly":122,"mx":219,"my":120},{"lx":229,"ly":125,"mx":223,"my":122},{"lx":239,"ly":127,"mx":229,"my":125},{"lx":247,"ly":128,"mx":239,"my":127},{"lx":254,"ly":129,"mx":247,"my":128},{"lx":260,"ly":129,"mx":254,"my":129},{"lx":264,"ly":129,"mx":260,"my":129},{"lx":267,"ly":129,"mx":264,"my":129},{"lx":268,"ly":129,"mx":267,"my":129},{"lx":269,"ly":129,"mx":268,"my":129},{"lx":270,"ly":129,"mx":269,"my":129}]

Fax: Delco Credit App


DELCO CREDIT APPLICATION

Are You Requesting Terms?

I/We, , in consideration for your extending credit at Applicant's request, do hereby personally guarantee to you the full payment, without prior notice to me or legal action against Applicant, or any obligation of Applicant to DELCO FOODS, and I/We hereby agree to be bound to pay you on demand and sum which may become due to you by Applicant whenever Applicant fails to pay the same pursuant to DELCO FOODS' terms and conditions of sale, including the costs referred to in the Agreement herein. It is understood that this guarantee shall be a continuing and irrevocable guarantee and indemnity for Applicant's indebtedness. This obligation shall cover renewal of any claims guaranteed by this instrument or extension of time for payment thereof.


TERMS AND CONDITIONS

The applicant certifies that the information contained herein is true and correct, and further agrees that DELCO FOODS may turn to a credit reporting agency for verification of the information provided. Applicant agrees that if credit is extended, all credit and sales made will be subject to the following:

  1. Applicant shall pay the full amount of the invoice(s) when due, which is determined by approved credit terms.
  2. The entire outstanding balance due to DELCO FOODS on all invoices shall become due in full immediately upon default in the payment of any invoice. Applicant agrees to pay interest of 1.5% per month, or the maximum allowed by law, on all unpaid balances, plus costs of collection, including attorneys' fees, court costs, and collection fees that DELCO FOODS may incur in recovering amount owed.
  3. Applicant irrevocably agrees and hereby consents and submits to the non-exclusive jurisdiction of any state or federal court in Marion County Indiana with regard to any actions or proceedings arising from, relating to or in connection with Applicant's obligations to Sellers or this Application.
  4. Applicant waives any right it may have to change the venue of any litigation brought against it by Sellers and further waives any right to trial by jury.
  5. This Application and all transactions between Applicant and Sellers shall be governed by and interpreted in accordance with the laws and decisions of the State of Indiana.

I further certify on Applicant's behalf that Applicant is solvent as defined by Article 1 of the Uniform Commercial Code, and the Applicant will immediately notify DELCO FOODS if it becomes insolvent. I further certify that I am an officer of the Applicant, knowledgeable of the financial conditions of Applicant, and that I am empowered and authorized to enter into the aforesaid Agreement on Applicant's behalf.

Signatory

Printed Name:

Email:

Address:

Date:

SSN or Driver's License:

Leave this empty:

Signature arrow
Signature Certificate
Document name: Account Application
lock iconUnique Document ID: e498c16544ee52223cbe2d8d5f8f4fc419297773
Timestamp Audit
July 16, 2017 10:39 am EDTAccount Application Uploaded by Theresa Wells - no_reply@delcofoods.com IP 68.45.175.106