STD EXT RW NRW First Order Amount: $ MID
(Choose one)
If Incorporated, State: If Incorporated, Date:
Physical Address
Legal Name
Street (required)
No P.O. Boxes or CMRA
City
State
Zip
Doing business as (DBA), if dierent
Billing Contact (First, MI, Last)
Billing Address (if dierent)
City
State
Zip
Telephone
Email
Entity Type
Corporation
General Partnership
Government
Sole Proprietorship
LLC/Limited Liability Partnership
Non-prot
(Choose one)
Ownership Type
Telephone
Fax
Company Website
Fed Employer ID Number (Tax ID)
Business Start Date
Gross Annual Revenue
Publicly Traded
Privately Owned
Government Owned
Business Industry Code (NAICS):
Need help? Go to naics.capitalone.com and
search by your primary business activity.
Commercial Credit Application
Return the completed, and signed, application to your supplier or you may send via Fax:
877-321-6699 or Mail: Capital One Trade Credit PO Box 17825, Portland, ME 04112.
# of Employees
REQUESTED CREDIT LIMIT $
Monthly spend
with this supplier
Depending on your credit limit needs, we may require a current nancial statement includ-
ing balance sheet, P&L and statement of cash ow.
$
Name (First, MI, Last)
DOB
Required elds on page 2
Business Controller All businesses, except Sole Proprietorships, Governments, and Publicly Traded Corporations, are required to provide this information for an
individual with signicant responsibility for managing or directing the business. This information is also required for Non-Prots. Physical address is required below.
P.O. Boxes or CMRA cannot be accepted.
Company Information
Important Information About Procedures for Opening a New Account
To help the government ght the funding of terrorism and money laundering activities, Federal law requires all nancial institutions to obtain, verify, and record
information that identies each person who opens an account.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We
may also ask to see your driver’s license or other identifying documents.
Page 1 of 3
Purchasing Information
Physical Address
City
State
Zip
Country
U.S. SSN
No individuals directly or indirectly own 25% or more of the business.
SUPPLIER USE ONLY
Business Ownership: All businesses, except Sole Proprietorships, Government Entities, Publicly Traded Corporations, and Non-Prots, are required to identify each
individual, if any, who directly or indirectly owns 25% or more of the business. Physical address is required below. P.O. Boxes or CMRA cannot be accepted.
Primary Phone
Title
When you provide your email address, we may use it to send you important information about your application and
account(s), as well as other useful products and services.
Non-U.S.Issued ID Type (if no U.S. ID)
Country of Issue
Name (First, MI, Last)
Primary Phone
DOB
Physical Address City
State
Zip
Country
U.S. SSN
Non-US ID #
Country of Issue
Name (First, MI, Last)
Primary Phone
DOB
Physical Address City
State
Zip
Country
U.S. SSN
Non-US ID #
Country of Issue
Name (First, MI, Last)
Primary Phone
DOB
Physical Address City
State
Zip
Country
U.S. SSN
Country of Issue
Name (First, MI, Last)
Primary Phone
DOB
Physical Address City
State
Zip
Country
U.S. SSN
Non-US ID #
Country of Issue
Non-U.S.Issued ID Type (if no U.S. ID) Non-U.S.Issued ID Type (if no U.S. ID)
Non-U.S.Issued ID Type (if no U.S. ID)
Non-U.S.Issued ID Type (if no U.S. ID)
Non-US ID #
Non-US ID #
Pending Order
Amount
$
FM420083
Primary Supplier
Company’s Legal Name
Company’s Legal Name
Address
City
State
Zip
Has the Applicant, or any principals involved in the company,
ever led for protection under bankruptcy laws?
If yes, please explain
Yes
No
State
Zip
Address
City
Fax
Bank Name
Contact
Phone
Account #
Name: Name:
Name: Title:
SSN: DOB: SSN: DOB:
Signature: Date:
Signature (as an individual): Signature (as an individual):
In consideration of our nancing purchases under any Account established pursuant to this application, the undersigned guarantor(s) (each, a “Guarantor”) agrees to unconditionally and irrevocably personally guaranty the payment
of all amounts due under the Agreement upon demand without requiring us to proceed rst against the Applicant or any other person or entity liable on the Account. Guarantor expressly agrees that we may change the terms of the
Agreement, including raising rates, fees or credit limits, adding locations where the Account may be used, or if we assign the Agreement. Guarantor waives any notices regarding the Agreement or this guaranty and also waives all
suretyship defenses.
Guarantor authorizes Capital One, N.A. to (a) utilize his/her personal credit by obtaining a personal credit report and/or making direct inquiries of businesses where Guarantor’s accounts are maintained in considering this application
and subsequently in connection with any Account: (b) periodically review and share information about the experiences or transactions with Guarantor with credit bureaus or other parties that may lawfully receive such information; and
(c) in the event that this application is denied based upon information in a personal credit report of Guarantor, to report the reason for denial.
I hereby certify, to the best of my knowledge, that the information provided above is complete and correct. In the event that the requested credit is approved, Applicant agrees to be bound by the Agreement provided to Applicant
with this application. Applicant authorizes us to obtain credit information from credit reporting agencies, references, participating program merchants and any other lawful sources in considering this application and subsequently in
connection with any Account. We may also periodically review and share information about the experiences or transactions with Applicant with credit bureaus or other parties that may lawfully receive such information. The undersigned
individual (“Undersigned”) attests that (i) Applicant is a duly organized and validly existing entity in good standing in its jurisdiction of formation; (ii) the execution of this application has been duly authorized by all necessary action
of Applicant; (iii) the Undersigned is authorized to execute this application on Applicant’s behalf; (iv) the business is headquartered, based, legally formed, and incorporated and/or registered in the US; (v) no trust owns, directly or
indirectly, 25 percent or more of the equity interests of the business.
PERSONAL GUARANTY(IES) Required for Sole Proprietorships, General Partnerships, and entities in business for less than 3 years.
REQUIRED AUTHORIZATION
Bank References (include deposit accounts and loans/lines of credit, if applicable)
Trade References
Page 2 of 3
Parent Company (if applicable) Public Filings
Additional names are attached
# of Authorized Purchasers
Authorized Purchasers can be added, and transaction limits can be
customized, at any time at smartview.capitalone.com.
Name
Authorized Purchasers (Optional)
State
City
Email
Vendor Name
Contact
Account #
Phone
Fax
Terms and Conditions on page 3
Name
Name
Name
State
Zip
Address
City
Fax
Bank Name
Contact
Phone
Account #
State
City
Email
Vendor Name
Contact
Account #
Phone
Fax
State
City
Email
Vendor Name
Contact
Account #
Phone
Fax
State
City
Email
Vendor Name
Contact
Account #
Phone
Fax
CAPITAL ONE TRADE CREDIT ACCOUNT AGREEMENT
OT419396
The Capital One Trade Credit Account is issued by, and credit is extended by, Capital
One, N.A., One Monument Square, Suite 800, Portland, ME, 04101. Any references in
this Agreement to “Capital One Trade Credit” refer to Capital One, N.A. or any third party
designated by Capital One N.A. to act as issuer and/or servicer of the Account. Capital
One Trade Credit is a trademark of Capital One, N.A. In this Agreement, “we” and “us”
refer to Capital One Trade Credit. “You”, “your”, and “Applicant” refer to the business
applicant identied in the commercial credit application. Capital One Trade Credit is solely
in the business of lending money to you to nance purchases you make from participat-
ing program merchants. Capital One Trade Credit neither sells nor warrants goods or
services obtained through such purchases.
Applicant and Capital One Trade Credit agree that this application and any related
agreements between the two may be executed electronically, including by adoption of an
electronic signature (e.g., the clicking of an “I ACCEPT” button). Applicant and Capital
One Trade Credit agree that such an electronic signature is legally valid and has the same
force and effect as if it had been executed on paper by wet ink signature and the physical
originals were delivered. Applicant agrees and acknowledges that we may, at our option,
send to Applicant any record, notice, disclosure, Statement, tax form, or other information
(“Communication”) via electronic means (including through a service), including
Communications that we are required by law to provide to Applicant in writing. Applicant
hereby waives any claim or defense that any Communication is not binding or enforceable
or does not have its intended effect as a result of being communicated electronically
rather than in writing.
If your application is approved, a commercial charge account (“Account”) will be opened
in the name of the Applicant. Your Account will be established for business, commercial or
organizational purposes on behalf of your business. You agree that you will not use your
Account (or allow your Account to be used) for personal, family or household purposes.
You promise to pay all amounts owed under this Agreement, including any nance and
late charges and any other charges that may be applicable from time to time. You agree
to pay for all transactions made on your Account, whether or not such transactions were
in fact authorized by you, were made for your benet, or exceeded your credit limit. Your
obligations under this Agreement are absolute and unconditional to the fullest extent
permitted under applicable law.
A credit limit will be assigned to your Account, which credit limit we may raise, lower, or
allow you to exceed, at any time, without advance notice to you. All unpaid purchases,
whether billed or unbilled, will be considered in determining your available credit. We
may at any time, without advance notice to you, limit or terminate the use of your Account
or terminate or suspend your right to make future purchases. You may at any time on
written notice to us terminate this Agreement with respect to future use of your Account.
Regardless of any limitation, suspension or termination hereunder, you agree to pay the
outstanding balance of the Account according to the terms of this Agreement, and all of
our rights will continue in full force and effect until all of your obligations are fully satised,
including payment of late payment fees and nance charges, which we will continue to
impose until the date of full payment.
If your Account is established as a statement billed account, we will send you periodic
billing statements reecting all purchases and fees charged to the Account during the
applicable billing period noted on your statement. Statements are mailed or emailed and
posted to your secure web account. Payment of the entire balance is due in full by the
date indicated on your statement.
If your Account is established as an invoice billed account, we will send you an invoice for
each transaction. Payment of the transaction balance reected in the invoice is due in full
by the date indicated on your invoice.
Your initial billing address is the address you specied in your application unless you notify
us of a change in this information. Outstanding balances unpaid after the applicable due
date will be considered delinquent and in each billing period in which there is a delinquent
balance, your Account will be assessed (i) a 1.5% nance charge subject to a minimum
nance charge of $10.00 OR (ii) a 1.5% nance charge and a $29.00 late fee (or, in each
case, if less, the maximum nance charge and late fee permitted under the law).
You may make payments in U.S. dollars by check or you may sign up to make payments
by Electronic Funds Transfer (“EFT”) from your designated business bank account.
Payments must be received by the cutoff time, noted on your statement or invoice, in
order for it to be applied on the same day. Crediting may be delayed if payment is not
received in a proper form (including if payment is not accompanied by the remittance
portion).
If your payment is dishonored, we may require immediate and full payment of all
outstanding amounts.
To the extent permitted by applicable law, if we accept any late payment or partial
payment (whether or not marked as payment in full), that acceptance will not: affect the
due date of any other payment due under this Agreement, act as an extension of time or a
waiver or satisfaction of any payment or amount then remaining unpaid, or modify any of
our rights under this Agreement. Any conditional check, money order or any other
instrument tendered with a restrictive endorsement or as full satisfaction of a disputed
debt to us must be sent in writing to Capital One Trade Credit, P.O. Box 17825, Portland,
ME 04112 and must conspicuously state on the face of the instrument or in an
accompanying letter that it is tendered for this purpose. If you make payment in any other
way and we accept it, we will not have waived our right to collect any amount from you
owing under this Agreement.
Subject to the limitations of applicable law, we may declare that you are in default under
this Agreement if you (a) fail to make a payment when due under this Agreement; (b)
violate any other term of this Agreement or provide any information that is incorrect,
incomplete or misleading in connection with this Agreement; (c) change your business
form or there is a change in control of your business; (d) dissolve or cease to do business;
or (e) become the subject of bankruptcy or insolvency proceedings. If you are in default,
we may exercise any or all rights and remedies available under law, equity or as provided
herein, including, without limitation, requiring immediate and full payment of all
outstanding amounts.
In the event that you breach or default under the terms of this Agreement, you will be
liable to us for all costs and expenses we incur in enforcing our rights hereunder, including
late charges and fees and reasonable attorney fees or other costs of collection. THIS
AGREEMENT AND YOUR ACCOUNT ARE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF DELAWARE (WITHOUT REGARD
TO INTERNAL PRINCIPLES OF CONFLICTS OF LAW). Any claim, suit or cause of
action you institute against us arising out of or relating to this Agreement must be led
exclusively in the State or Federal Courts within the State of Delaware. In the event of a
default under this Agreement, we may institute suit against you either in the State or
Federal Courts within the State of Delaware or in the jurisdiction in which you are
geographically located or conduct business. TO THE EXTENT PERMITTED BY
APPLICABLE LAW, WE AND YOU WAIVE ANY RIGHT TO A TRIAL BY JURY IN ANY
ACTION HEREAFTER BROUGHT AND RELATED IN ANY WAY TO THIS AGREEMENT
AND YOUR ACCOUNT, UNDER ANY THEORY OF LAW OR EQUITY. UNDER NO
CIRCUMSTANCES SHALL WE BE LIABLE FOR ANY CONSEQUENTIAL,
INCIDENTAL, INDIRECT OR PUNITIVE DAMAGES for any claim arising out of or relating
to this Agreement. For residents of the state of South Dakota, if you believe there are any
improprieties in the making of this loan or in Capital One Trade Credit’s loan practices they
may be referred to the South Dakota Division of Banking, 1601 N Harrison Avenue, Suite
1, Pierre, SD 57501 or you may call them at 605- 773-3421.
This Agreement, together with any application you submitted in connection with the
Account (which is hereby incorporated by reference in this Agreement), constitutes the
entire agreement between you and us relating to your Account and supersedes any other
prior or contemporaneous agreement between you and us and/or our predecessors
relating to your Account. We may amend this Agreement, including to impose additional
or different fees or to change the terms of your Account, by giving you 15 days advance
notice thereof; provided, however, we may suspend or terminate your Account or change
your credit limit without any notice to you (as described in more detail above).
This Agreement may not otherwise be amended. We may sell, assign, or transfer all or
any portion of your Account or any balances due under your Account without prior notice
to you.
