Fax: 904-739-2887 CREDIT APPLICATION Property name: Address: City: State: ZIP: Manager’s name: Phone: Receive invoices by (please circle): Fax: MAIL FAX Email: EMAIL MANAGEMENT COMPANY AND OWNER INFORMATION Management Company name: Address: City: State: ZIP Code: Regional Property Manager: Phone: Fax: E-mail: Owner’s name: Address: City: Phone: State: Fax: ZIP Code: E-mail: BUSINESS/TRADE REFERENCES Company name: Phone: Fax: Company name: Phone: Fax: Company name: Phone: Fax: AGREEMENT 1. All invoices are to be paid 30 days from the date of the invoice. Any account that runs delinquent may be put on credit hold. 2. By submitting this application, you authorize EXPRESSIONS CARPET & FLOORING to make inquiries into the business/trade references that you have supplied. 3. If any amount due EXPRESSIONS CARPET & FLOORING is not paid in said period, a finance charge of 1 ½% per month may be charged on the delinquent balance. In the event of a dispute the applicant(s) stip ulate that EXPRESSIONS CARPET & FLOORING may, at its option, bring judicial proceedings where sums are due and payable. Applicant consents to such jurisdiction. 4. If the account or notes are placed with an attorney, lien service or collection agency, th en the applicant and his owners are liable for all fees and costs, including reasonable attorney’s fees. EXPRESSIONS CARPET & FLOORING shall have the right, amongst others , to take all actions at law and equity and such remedies may be commenced consecut ively or concurrently. 5. EXPRESSIONS CARPET & FLOORING may, at its option, waive any of the above requirements, or excuse applicant’s compliance with any of the above obligations. SIGNATURES X Print name, Title and Date: