Credit Application

GENERAL INFORMATION
(please print or type)

Existing Customer? *

Yes

No

Customer Number (If Applicable)

Applicant Name *

Trade Name (If Different)

Physical Address *

Billing Address (If different than physical address)

Business Phone # *

Mobile Phone

AP Contact Name

Billing Email

Description of Business *

Type of Business *

Has the business ever declared bankruptcy?

Yes

No

# of Employees

Purchase Order Required?

Yes

No

Federal ID Number *

Sales Tax Exempt? *

Yes

No

Please upload your Exemption Certificate here

Bonding Company - Name - Phone Number

Insurance Company - Name - Phone Number

IFTA Tax License

Expiration Date

DOT #

FINANCIAL INFORMATION: Additional financial information may be requested including financial statements and tax returns.

BANK/FINANCE CO. REFERENCES

Primary Bank / Finance Company *

Address (incl. city/state/zip) *

Phone *

Account # *

Primary Bank / Finance Company

Address (incl. city/state/zip)

Phone

Account #

TRADE REFERENCES (Min. of 2)

REFERENCE 1

Reference Name: *

City *

State *

Phone Number *

Fax Number: *

REFERENCE 2

Reference Name:

City

State

Phone Number

Fax Number:

REFERENCE 3

Reference Name:

City

State

Phone Number

Fax Number:

PERSONAL INFORMATION ON OWNER / PRINCIPALS/ GUARANTORS

Name/Title

Date of Birth

SS #

Home Address

Phone Number

% Ownership

Net Worth $

Annual Income $

Monthly Housing Payment

Name/Title

Date of Birth

SS #

Home Address

Phone Number

% Ownership

Net Worth $

Annual Income $

Monthly Housing Payment

Best Rents LLC. is hereby authorized to investigate the credit record of the undersigned applicant and report to proper persons and bureaus the discharge of obligations incurred under
any credit advanced by Best Rents LLC. Applicant agrees that any credit will be advanced only on the basis of a purchase order or other applicable commercial form of Best Rents LLC.
and that applicant will promptly pay and discharge all obligations, including without limitation any applicable service or late charges, owed to Best Rents LLC. under any such credit
advanced. Applicant agrees to pay interest on any loans, advances or forbearances or on any past due amounts at a rate to be determined by Best Rents LLC. from time to time and set
forth in its statements and/or any other documents, together with all costs of collecting past due amounts, including Best Rents LLC. collection costs and attorney’s fees incurred in
connection with same. Jurisdiction for the enforcement of any transaction made pursuant to this credit application shall be in the County of Marion, State of Indiana. The law and
decisions of the State of Indiana shall govern all transactions taking place between the parties.

If approved for credit, I confirm I have read, understand, and agree to abide by the credit and payment terms and requirements of Best Rents LLC. as presented and written on the front
and back of this application

Signature *

clear

Full Name & Title *

Date *

ACCOUNT AGREEMENT AND TERMS

The person/entity (“Customer”) submitting this application to Best Equipment, Inc. or Best Rents LLC. or any of its subsidiaries or divisions (“BRLLC”) agrees to the following conditions:

1. A late charge of 1.50% (18% annual percentage rate) per month shall be assessed on all accounts over 30 days past due.

2. All transactions are assumed to be taxable in all relevant jurisdictions unless BRLLC receives a valid Tax Exemption certificate.

3. All invoices will be paid to BRLLC in accordance with the terms and conditions of this Agreement or as otherwise agreed by BRLLC in writing.

4. All invoices are due and payable at the remittance address shown on the face of the invoice within 30 days of the date of the invoice.

5. Customer agrees that it may from time to time be owed money from BRLLC due to contracts or transactions between the Customer and BRLLC which are separate and distinct from the transactions contemplated in this Credit Application and Agreement. BRLLC will have the right to withhold from the Customer any monies owed by BRLLC to the Customer in connection with any such contracts or transactions and to offset the same against any sums owed by the Customer to BRLLC in such amounts as may be deemed by BRLLC to be reasonably necessary to cover such indebtedness of the Customer. So long as this right of offset is carried out in good faith, the Customer waives any claims against BRLLC for any consequential damages arising from such withhold and offset even if it is later determined that the withhold and offset was improper.

6. BRLLC is authorized to file any and all lien notices, construction liens, notice of furnishings, mechanics liens, and surety bond claims or other remedies to protect its interest in equipment or machinery, rental equipment, service, parts and all related accounts. Customer agrees to furnish BRLLC with all information requested by BRLLC for the proper completion and service of any notices under the lien laws.

7. Delivery of material to the site constitutes delivery to Customer, regardless of whether the Customer or his agent is at the site at the time of delivery. Customer waives any claims for damages arising by virtue of delay in delivery of material by BRLLC, regardless of the cause of delay. Any claims for adjustments or corrections of billings, must be made within five (5) days of receipt of invoice.

8. BRLLC will not be responsible for incidental, consequential, special or other damages caused by the delay in delivery, breakdown or mechanical failure of any equipment rented to the Customer.

9. Customer agrees to supply BRLLC with proper and current required Federal, State and local licensing before opening account(s).

PERSONAL GUARANTEE

In consideration for, and as an inducement and incentive to Best Rents LLC., and/or any of its subsidiaries (herein referred to as "Creditor) to, extend credit and/or sell goods, wares, equipment, fixtures and merchandise (herein collectively referred to as "goods") to: (Company Name), located at: (Herein referred to as "Debtor"), the undersigned (herein referred to as "Guarantor", whether one or more) absolutely guarantees payment to Creditor of all past, present and future indebtedness in addition to all interest, expenses, reasonable costs of collection, reasonable attorneys' fees or other obligations due in connection with such indebtedness of Debtor to Creditor. This guarantee shall continue in full force and effect until all obligations which are guaranteed by this instrument are fully discharged. With or without notice to Guarantor, Creditor shall have the unrestricted right to renew, extend, modify, accelerate and/or compromise any indebtedness of Debtor and to accept, substitute, surrender or otherwise deal with any collateral security or guaranties provided by Debtor to Creditor. No such action by Creditor shall affect Guarantor's liability in any manner. Creditor may proceed against Guarantor for any amount guaranteed pursuant to this instrument whether Debtor is joined in any such action or not. This is a guaranty of payment and not collection. Guarantor expressly waives notice of default by Debtor, and Guarantor expressly waives notice of acceptance of this guarentee.

Guarantor Name

Signature

clear

SS #

Address

Co-Guarantor Name (including spouse if requested)

Signature

clear

SS #

Address

Credit Application

GENERAL INFORMATION (please print or type)

FINANCIAL INFORMATION: Additional financial information may be requested including financial statements and tax returns.

BANK/FINANCE CO. REFERENCES

TRADE REFERENCES (Min. of 2)

PERSONAL INFORMATION ON OWNER / PRINCIPALS/ GUARANTORS

ACCOUNT AGREEMENT AND TERMS

PERSONAL GUARANTEE

GENERAL INFORMATION
(please print or type)