Tidewater Block

Office:   (757) 539-1576 ---   Toll Free (800) 296-2562
                                   Fax: (757) 934-2717
                         P.O. Box 1546 --- 999 Kenyon Road
                                                                                                Suffolk, Virginia 23439

CREDIT APPLICATION

Firm Name______________________________________________________________

Type of business__________________________________________________________

Street______________________________________P.O. Box_____________________

City______________________ State___________________ Zip___________________

Years in Business_________ Phone____________________ Fax___________________

Corporation__________________ Partnership_______________

Limited Partnership____________ Proprietorship____________

Are you tax exempt____________? If yes, attach certificate.

Do you require a purchase order?__________

If Corporation give Registered Agent__________________________________________

Address_________________________________________________________________

PRINCIPAL OWNERS AND STOCKHOLDERS

Name Address Title SSN

SUPPLIERS AND BANKS

Name Phone Number FAX Number Address Acct Number

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Applicant warrants that all information contained in this application is true and complete. Applicant hereby authorizes Tidewater Block, LLC (Tidewater) or any credit bureau or other investigative agency employed by it to investigate references, statements and other date submitted herein pertaining to Applicant’s credit and financial responsibility. Applicant agrees that purchases and/or deliveries may be authorized or accepted by Applicant without signature.

Tidewater issues a monthly statement on the 30^th of each month. All invoices are payable by the 10^th of the month following purchase.

We, the undersigned, for value receive and order to induce Tidewater Block, LLC to continue to sell and/or to commence selling material _______________________, its affiliates, or assigns (hereinafter collectively referred to as CUSTOMER), do hereby jointly and severally unconditionally guarantee and obligate ourselves to pay all debts and obligations heretofore or hereafter incurred by CUSTOMER on account of Tidewater Block sales to CUSTOMER from time to time, whether such sales were in the past or are in the future.

This Guarantee shall remain in full force and effect until same is terminated in writing and such termination is received by Tidewater at its above address. However, such termination shall not affect our liability under this GUARANTEE for CUSTOMER’S debts and obligations or orders placed by CUSTOMER prior to the date of Tidewater receipt and said termination of this GUARANTEE.

We hereby WAIVE: (1) Notice of the dates and amounts of CUSTOMERS’ orders and purchases; (2) Notice of CUSTOMER’S default in paying for same; and (3) Our Homestead exemption benefits that may apply to our obligation herein.

We further agree that no extension of time for payment or a release of any person, firm or corporation from liability hereunder shall affect our joint, several, unconditional and continuing obligations to Tidewater.

We further agree that in the event that the CUSTOMER’S accounts become delinquent as stated above in the terms and condition of payment clause and collection of same is placed with attorney, we will hereby obligate ourselves, jointly and severally, to pay an attorney’s fee of 25% of the amount due on CUSTOMER’S account, plus interest (2% per month unless otherwise stated) and costs of collection.