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Application for Credit for My Business

Section A - Business Information

Business Type	Federal ID or SSN	Business Name	Type of Business

Customer/Owner Name	Customer/Owner SSN	Email	Phone Numbers

Street Address	Mailing Address	Delivery Address

Section B - Bank References

Section C - Credit References

Reference 1	Reference 2	Current or Previous Supplier
,	,	,

Section D - Petroleum Product Information

Authorization Agreement for Preauthorized (EFT) Payments if applicable

This authority is to remain in full force and effect until the Company and Depository has received written notification from me of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to work.

The undersigned hereby submits this application for the purpose of applying for a credit account with Davenport Energy, affirms that the information provided herein is true and accurate and acknowledges and accepts the provisions noted on the other sides of this agreement, and further gives Davenport Energy permission to obtain a credit history now, and again in the future, if conditions warrant, using the applicant’s Social Security number.

Upon approval of credit, the undersigned agrees to pay promptly and within thirty (30) days (or as otherwise notified in this agreement) from the date of delivery or services rendered.

If payment is not received within thirty (30) days, or as otherwise noted in this agreement, Davenport Energy may, at its option and without notice, not make a delivery, or terminate service, and remove company-owned equipment and gas from the delivery address.

The undersigned agrees to pay any and all collection fees and/or attorney’s fees and all legal costs incurred or obligated by Davenport Energy in enforcement and/or collection of this agreement.

The undersigned understands that a late payment charge in the amount of 1.5% per month (APR 18%) or $1.00, whichever is greater, will be added, if payment is not received within thirty (30) days, or as otherwise noted in this agreement, and shall continue each 30 days thereafter until the past-due balance is paid in full.

Davenport Energy will charge the maximum allowable fee for any check returned for insufficient funds.

Further, the undersigned agrees to pay this account and personally guarantees and stands for the credit and all lawful charges of the above named applicant made to Davenport Energy.

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Timestamp

Audit

March 22, 2018 1:20 pm EDT

Application for Credit for My Business Uploaded by Tim Davis - tdavis@davenportenergy.com IP 70.182.216.48

July 6, 2018 4:11 pm EDT

T Broome - tbroome@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48

July 6, 2018 4:11 pm EDT

Tim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48

July 6, 2018 4:11 pm EDT

J Bowers - jbowers@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48

July 6, 2018 4:11 pm EDT

Tim Davis - tdavis@davenportenergy.com added by Tim Davis Davis - tdavis@davenportenergy.com as a CC'd Recipient Ip: 70.182.216.48