6385 Hwy 87 E

San Antonio, TX 78222 (210) 223-7473

(210) 223-7477 Fax

10243 Hwy 290 W Hye, TX 78635 (210) 868-0200

(830) 868-4549 Fax

2248 Hwy 90 W Hondo, TX 78861

(830) 741-2000 (830) 426-8999 Fax

409 Industrial Ave Robstown, TX 78330

(361) 767-7473 (361) 387-7477 Fax

103 Lafayette Drive Kerrville, TX 78028

(830) 367-7473 (830) 367-3092 Fax

Page 1 of 3

Please complete entirely and return application to liz@pipemovers.com or fax to (866) 944-7472

CREDIT APPLICATION

PREPARED BY: Amt. of Credit Requesting: PMI SALES REP:

LEGAL BUSINESS/APPLICANT NAME: SSN/FEIN:

DBA:

TDL#: PHONE #: E-MAIL:

MAIN ADDRESS: CITY, STATE & ZIP:

**SECTION BELOW IS FOR BUSINESS ACCOUNTS ONLY**

LEGAL ENTITY: CORP [ ] PARTNERSHIP [ ] PROPRIETORSHIP [ ] LLC [ ] LLP [ ] LLLP [ ] Govt [ ]

STATE OF INCORPORATION: YEAR BUSINES STARTED: NAICS/SIC CODE:

PRODUCTS OR SERVICES OFFERED: PO REQUIRED? YES [ ] NO [ ]

TAX EXAMPTED: SALES TAX EXEMPT CERTIFICATE [ ], RESALE CERTIFICATE [ ], OR DIRECT PAY CERTIFICATE [ ]

***PLEASE PROVIDE CERTIFICATE, EXEMPTION NUMBER ALONE WILL NOT BE ACCEPTED***

TX SHIPPING ADDRESS: CITY, STATE, & ZIP: If Different From Main

BILLING ADDRESS: CITY, STATE, & ZIP:

OFFICERS (OWNERS/PARTNERS/MEMBERS) Required

1) Name Title Phone DL# Filed or Adjudged Bankruptcy?

2) Name Title Phone DL# Filed or Adjudged Bankruptcy?

3) Name Title Phone DL# Filed or Adjudged Bankruptcy?

4) Name Title Phone DL# Filed or Adjudged Bankruptcy?

PURSHASING CONTACT: Print Name Phone E-mail

ACCOUNTS PAYABLE:

Print Name Phone E-mail

6385 Hwy 87 E

San Antonio, TX 78222 (210) 223-7473

(210) 223-7477 Fax

10243 Hwy 290 W Hye, TX 78635 (210) 868-0200

(830) 868-4549 Fax

2248 Hwy 90 W Hondo, TX 78861

(830) 741-2000 (830) 426-8999 Fax

409 Industrial Ave Robstown, TX 78330

(361) 767-7473 (361) 387-7477 Fax

103 Lafayette Drive Kerrville, TX 78028

(830) 367-7473 (830) 367-3092 Fax

Page 2 of 3

CREDIT REFERENCES

PERSONAL & BUSINESS APPLICANTS

BANKING DETAILS

BANK: OFFICER:

ACCOUNT NUMBER: TELEPHONE#: FAX#:

SUPPLIER REFERENCES ONLY

BUSINESS NAME TELEPHONE # FAX#/E-MAIL ACCT # (Required)

1)

2)

3)

4)

TERMS AND CONDITIONS

Applicant authorizes PMI Pipe Steel Supplies to check all credit and business associations without recourse.

Our terms are NET 30 Days. Applicant agrees to pay PMI Pipe Steel Supplies all indebtedness of whatever kind

or nature now hereafter, owed by applicant to PMI Pipe Steel Supplies, whether incurred individually, as

proprietorship, as a partnership, or as a corporation. Invoices 90 days past due that are not in dispute and

amount in question was for goods received or service rendered will be charged to credit card(s) on file.

Applicant agrees to pay the cost of collection including attorney’s fees should the account be referred to a

collection agency or attorney. All information given on this credit application will be held in strict confidence.

PRINT NAME: TITLE:

SIGNATURE: DATE: Black or Blue Ink Only

6385 Hwy 87 E

San Antonio, TX 78222 (210) 223-7473

(210) 223-7477 Fax

10243 Hwy 290 W Hye, TX 78635 (210) 868-0200

(830) 868-4549 Fax

2248 Hwy 90 W Hondo, TX 78861

(830) 741-2000 (830) 426-8999 Fax

409 Industrial Ave Robstown, TX 78330

(361) 767-7473 (361) 387-7477 Fax

103 Lafayette Drive Kerrville, TX 78028

(830) 367-7473 (830) 367-3092 Fax

Page 3 of 3

PERSONAL GUARANTEE (BUSINESS ACCOUNTS)

This guarantee is given for and in consideration of Pipe Movers, Inc. (hereafter referred to as PMI Pipe Steel Supplies) extending credit at my request to the above named credit applicant, (hereafter referred to as “Company) and is given to induce PMI Pipe Steel Supplies to extend such credit. I/We the undersigned Guarantors hereby jointly and severally, unconditionally personally guarantee and promise to PMI Pipe Steel Supplies the payment of any obligation of the Company to PMI Pipe Steel Supplies. I/We here by agree to pay PMI Pipe Steel Supplies on demand any sum which may become due to PMI Pipe Steel Supplies from the Company whenever due in accordance with its terms. The guarantee of payment is in no way conditioned upon any attempt to collect form the Company. This guarantee is continuing and irrevocable guarantee for the indebtedness of the Company. This guarantee shall in no way be affected or diminished by reason of any extension of time, renewal, or modifications or other accommodation that may be granted to the Company by PMI Pipe Steel Supplies; I/we hereby expressly consent to such modifications, extensions, and renewals. I/We here by waive acceptance, presentment, demand, protest, and notice of non-payment or default or any other notice whatsoever. It is further agreed that this guarantee is executed and delivered and performable in Bexar County, Texas, shall be construed according to the laws of the State of Texas and venue of any action incident to this agreement shall be in Bexar County, Texas.

I/WE HAVE READ AND FULLY UNDERSTAND THE ABOVE

1ST GUARANTOR: SIGNATURE: Print Black or Blue Ink

HOME ADDRESS: CITY, STATE, & ZIP:

DATE:

2ND GUARANTOR: SIGNATURE: Print Black or Blue Ink

HOME ADDRESS: CITY, STATE, & ZIP:

DATE:

WITNESS NAME: SIGNATURE: DATE:

01-924 (Rev.11-11/2)

Texas Agricultural Sales and Use Tax Exemption Certification Producers of agricultural products for sale must provide this completed form to retailers when claiming an exemption from sales and use tax on the purchase of qualifying agricultural items. The certificate may serve as a blanket certificate covering all qualifying purchases.

This form may not be used to claim exemption from tax on motor vehicles, including trailers. Motor vehicle tax exemptions must be claimed with the local County Tax Assessor-Collector at the time of registration and/or titling.

An ag/timber number is not required for the following types of agricultural items:

• horses, mules and work animals commonly used in agricultural production; • animal life, the products of which ordinarily constitute food for human consumption, such as cows, goats,

sheep, chickens, turkeys and pigs; • feed for farm and ranch animals, including oats, corn, chicken scratch and hay; and • seeds and annual plants, the products of which are commonly recognized as food for humans or animals

(such as corn, oats and soybeans) or are usually only raised to be sold in the regular course of business (such as cotton seed).

All other agricultural items require an ag/timber number to claim a sales tax exemption. See back for qualifying and non-qualifying items.

Name of retailer

Address (Street and number, P.O. Box or route number)

City, State, ZIP code

Important information regarding use of this certificate: Purchasers issuing this certificate must be familiar with the agricultural exemptions available for the items claimed on this form. Please review Rule 3.296 at www.salestax.tx.gov. Agricultural exemptions only apply if an item is purchased for EXCLUSIVE use in an exempt manner. Any personal or non-agricultural use disqualifi es the purchase from exemption.

Retailers may accept this certificate as a blanket certificate covering all sales of items that can reasonably be used in the production of agricultural products for sale in the regular course of business. Retailers must collect tax on all other items such as jewelry, furniture, guns and clothing.

Name of purchaser

Address (Street and number, P.O. Box or route number)

City, State, ZIP code Phone (Area code and number)

Ag/Timber number Name of person to whom number is registered, if different than purchaser

I understand that I am required to keep records to verify eligibility for the exemption(s) and that I will be required to pay sales or use tax on purchases that do not qualify for the exemption(s), in addition to any applicable interest and penalties.

I understand that it is a criminal offense to issue an exemption certificate to the seller for taxable items that I know will be used in a manner that does not qualify for the exemptions found in Tax Code Sec. 151.316. The offense may range from a Class C misdemeanor to a felony of the second degree.

Purchaser's signature Purchaser's name (print or type) Date

This certificate should be furnished to the retailer. Do not send the completed certificate to the Comptroller of Public Accounts.

01-919 STATE OF TEXAS(7-05)

TEXAS DIRECT PAYMENT EXEMPTION CERTIFICATION LIMITED SALES, EXCISE AND USE TAX

Direct payment permit number

Name of purchaser, firm or agency

Address (Street & number, P.O. Box or Route number) Phone (Area code and number)

City, State, ZIP code

I, the undersigned, hereby claim an exemption from payment of state, city, county, special purpose district, and transit authority/department sales and use taxes upon purchase of taxable items from:

Seller:

Street address: City, State, ZIP code:

Description of items to be purchased (If this space is left blank, this certificate covers everything on the attached order, invoice, or billing):

This certificate does not cover:

(1) Purchases of taxable items to be resold;

(2) Sales or rentals to any purchaser other than the permit holder;

(3) Sales or rentals of motor vehicles subject to the motor vehicle sales and use tax (Chapter 152);

(4) Materials or supplies used, transferred, or consumed by a provider of a nontaxable service selling the service to a direct payment permit holder.

This certificate is not valid for lump-sum new construction projects to improve real property for a direct payment permit holder.

The permit holder agrees not to permit others (including its contractors and repairmen) to use the undersigned’s direct payment authorization to purchase materials tax-free.

The undersigned agrees to accrue and pay the tax to the Comptroller of Public Accounts as required by statute.

Authorized signature Permit holder Date

This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.

01-339 (Rev.7-10/7)

Texas Sales and Use Tax Resale Certificate Name of purchaser, firm or agency as shown on permit Phone (Area code and number)

Address (Street & number, P.O. Box or Route number)

City, State, ZIP code

Texas Sales and Use Tax Permit Number (must contain 11 digits)

Out-of-state retailer's registration number or Federal Taxpayers Registry (RFC) number for retailers based in Mexico

(Retailers based in Mexico must also provide a copy of their Mexico registration form to the seller.)

Seller:

Street address:

I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items described below or on the attached order or invoice) from:

Description of the type of business activity generally engaged in or type of items normally sold by the purchaser:

The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold.

I understand that if I make any use of the items other than retention, demonstration or display while holding them for sale, lease or rental, I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period of time used.

I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.

Description of items to be purchased on the attached order or invoice:

City, State, ZIP code:

Purchaser Title Date

This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.

TEXAS SALES AND USE TAX EXEMPTION CERTIFICATIONName of purchaser, firm or agency

Address (Street & number, P.O. Box or Route number) Phone (Area code and number)

City, State, ZIP code

I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxableitems described below or on the attached order or invoice) from:

Seller:

Street address: City, State, ZIP code:

Description of items to be purchased or on the attached order or invoice:

Purchaser claims this exemption for the following reason:

I understand that I will be liable for payment of sales or use taxes which may become due for failure to comply with the provisions of theTax Code: Limited Sales, Excise, and Use Tax Act; Municipal Sales and Use Tax Act; Sales and Use Taxes for Special Purpose TaxingAuthorities; County Sales and Use Tax Act; County Health Services Sales and Use Tax; The Texas Health and Safety Code; SpecialProvisions Relating to Hospital Districts, Emergency Services Districts, and Emergency Services Districts in counties with a populationof 125,000 or less.

I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase,will be used in a manner other than that expressed in this certificate and, depending on the amount of tax evaded, the offense may rangefrom a Class C misdemeanor to a felony of the second degree.

Purchaser Title Date

NOTE: This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle.THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID.Sales and Use Tax "Exemption Numbers" or "Tax Exempt" Numbers do not exist.

This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.

01-339 (Back)(Rev. 6-04/5)