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FINANCIAL INFORMATION:

The following information will be kept in a confidential manner.
     
Owned
Title in Name of:
Mortgage company:
Home:
Business

  
Name of Bank:
Bank Address:
Type account & acct #:
Name of Bonding Company used on required jobs:
Amount of Credit you would like to establish:
CREDIT AGREEMENT:

I agree to pay I.D. Booth, Inc. of Elmira, New York in full within 30 days after monthly billing period. I will pay a finance charge on all past due accounts, computed by a PERIODIC RATE OF 1 1/2% PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18 PER CENT. Upon any default by me, my entire balance shall at your option become payable. I will pay a nominal collection fee if my account is referred for colection.

XSignature________________________________________________Title_____________________Date_________________
  

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