Date (*) Invalid Input Applicants Name Invalid Input Social Security Number Invalid Input
Business Name Invalid Input Federal ID # Invalid Input Address Invalid Input Phone Invalid Input
Cell Invalid Input eMail (*) Invalid Input

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Type of Organization CorporationGeneral PartnershipLimited PartnershipSole ProprietorshipIndividualOther Invalid Input
Purpose of Credit Application Farm or Machine Shop AccountFuel CardsCell Phone Invalid Input

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Cash, Savings & Investments: Invalid Input
Operating Loans: (List) ----------------- Payment ------------------- Balance Owing:
Other: Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Stored Crops Held for Sale:::: Invalid Input
C-Card/Charge Accounts:::: Invalid Input Invalid Input
Investment in Growing Crops Invalid Input Invalid Input Invalid Input Invalid Input
Farm Supplies on Hand :::::::: Invalid Input Invalid Input Invalid Input Invalid Input
Other Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Farm Machinery & Vehicles:::: Invalid Input
Accounts Payable :::::::::::::::: Invalid Input Invalid Input
Invalid Input Invalid Input
Rent/Taxes/Other :::::::::::::::: Invalid Input Invalid Input
Invalid Input Invalid Input
Equip & Vehicle Lenders ::: Invalid Input Invalid Input
Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Real Estate & Buildings ::::::::: Invalid Input Invalid Input Invalid Input Invalid Input
Invalid Input Invalid Input
Real Estate Lenders (List): Invalid Input Invalid Input
Invalid Input Invalid Input Invalid Input Invalid Input Invalid Input
Invalid Input Invalid Input
Other Loans:: Invalid Input Invalid Input Invalid Input
Retirement Accounts :::::::::::::: Invalid Input Invalid Input Invalid Input Invalid Input
Total Assets ::::::::::::::::::::::::::::: Invalid Input Total Liabilities ::::::::::::::::::::: Invalid Input Invalid Input

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Revenues & Expenses

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Crop Sales :::::::::::::::::::::::::::::::: Invalid Input
Farm Operating Expenses Invalid Input Invalid Input
Invalid Input Invalid Input
Other Business Expenses Invalid Input Invalid Input
Invalid Input Invalid Input
Officers/Owners Salary or Draw: Invalid Input Invalid Input
Invalid Input Invalid Input
Depreciation/Equipment Purchases: Invalid Input Invalid Input
Invalid Input Invalid Input
Interest :::::::::::::::::::::::::::::::::: Invalid Input Invalid Input
Invalid Input Invalid Input
Taxes :::::::::::::::::::::::::::::::::::: Invalid Input Invalid Input
Invalid Input Invalid Input
Other:::::::::::::::::::::::::::::::::::::: Invalid Input Invalid Input
Total Revenues :::::::::::::::::::::::: Invalid Input Total Expense:::::::::::::::::::::: Invalid Input Invalid Input

Name & Location of Bank or Creditor:
Bank/Creditor 00 Invalid Input Bank/Creditor 01 Invalid Input Bank/Creditor 02 Invalid Input
Bank/Creditor 03 Invalid Input

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List Loan or Account Numbers if you have any:
Loan/Account 00 Invalid Input Loan/Account 01 Invalid Input Loan/Account 02 Invalid Input
Loan/Account 03 Invalid Input

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List Monthly Payments if you have any:
Monthly Payments 00 Invalid Input Monthly Payments 01 Invalid Input Monthly Payments 02 Invalid Input
Monthly Payments 03 Invalid Input

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Balance Owing if you have any:
Balance Owing 00 Invalid Input Balance Owing 01 Invalid Input Balance Owing 02 Invalid Input
Balance Owing 03 Invalid Input

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Have you individually or as a part of any entity ever filed for bankruptcy? YesNo Invalid Input

Walla Walla Farmers Co-op Credit Policies Annual Percentage Rate (APR) & Periodic Percentage Rate: 18% APR Monthly periodic rate is determined by dividing the Annual Percentage Rate (APR) by 12. Periodic (monthly) Percentage Rate is 1.5%, (or $1.00 whichever is greater). Due Date and Grace period for the payment of the Balance for Purchases: Monthly statements will be mailed on approximately the 5th day of each month. Payment in full is due by "due date" which is the 15th of the month of such mailing. All payments made on account will be first applied toward the payment of petroleum purchased. There will be a discount offered on certain commodities if payment is received in full by the 15th. You have a Grace Period until the last day of the month of billing to pay the entire balance of your account without incurring any finance charges. If you pay in installments, you must make the minimum monthly payment by the end of the monthly grace period.

Method of Computing the Interest: The periodic Percentage Rate of Interest (1.5% per month or $1.00 whichever is greater) will be applied to the remaining unpaid balance in your account (if any) after the last day of each month. The monthly finance charge, as applied to the balance on the last day of the previous month, will appear in the billing statement mailed by the 5th of the month.

Minimum Monthly Payment: 1/12 of the total amount due or $35, whichever is more.
Late Payment Fee: A $20 late charge will be assessed if the minimum monthly payment is not received during the monthly grace period.

Return Check Fee: If your check for payment is refused twice by the issuing bank, your account may be charged with a service fee for the NSF check in the amount of $40.00 or the face value of the check, whichever is less.

Credit Reactivation Fee: If your fuel card or cell phone is deactivated for failure to make full and timely payments, there
will be a $20 reactivation fee to reactivate the fuel card or cell phone after the default is corrected.

Credit Limit: Upon approval of your application for credit, Walla Walla Farmers Co-op, Inc. ("the Company") will establish a credit limit on your account. Your credit limit will appear on your monthly statement. At our discretion, the Company may change your credit limit at any time. The Company will notify you if we do, either by mail or through your monthly billing statement. You may request a change to your credit limit by contacting the Company by telephone or mail.

Equal Credit Opportunity Act Notice: The federal Equal Credit Opportunity Act prohibits the Company from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, martial status, disabilities or age (provided the applicant has the capacity to enter into a binding contract); because any of the applicant's income is derived from any public assistance program, or because the applicant had in good faith exercised his or her rights under the Consumer Credit Protection Act.

Event of Default; Remedies: Failure to make full and timely payment of your account by the end of the Grace Period (end of the month), your filing for bankruptcy protection or seeking other similar protection (such as an assignment for benefit of creditors), insolvency, exceeding your credit limit without prior written approval of the Company management, or breaching this agreement with the Company constitutes a default with or without further notice to you. On default and without prior notice to you, the Company reserves the right to close your account to new purchases, to terminate all credit privileges pending review of your account by the Company, and to take any necessary legal action to collect on the account or to otherwise enforce the agreement.

If the Company terminates all of your credit privileges, all subsequent sales will be by cash only unless prior arrangements have been made with the Company. The Company immediately will terminate gas card privileges at the pump for accounts that are in such default unless prior arrangements have been made with the Company.
You agree that the Company has the right to take any necessary action to collect an account that is in default including, but not limited to, action taken by an attorney such as by filing a court action (e.g., an action in any court of appropriate jurisdiction), filing an appeal, foreclosure of a security interest, or action by a professional collection agency. Reasonable attorneys fees and costs incurred will be awarded to the substantially prevailing party on any action to collect on the account.

Any disputes arising under the Company's credit polices are subject to the jurisdiction of the courts for the State of Washington; venue is in Walla Walla County, Washington. Washington law applies to the interpretation of this

Authorization for Credit Inquiries
I/We, the undersigned, authorize Walla Walla Farmers Co-op to make any credit inquiries it deems necessary on my/our account(s). Specifically, I/We authorize release of the following information: (TO BE COMPLETED BY LENDER)

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Operating Line of Credit: Average Balance Invalid Input
Total Available Line Invalid Input
Operating Checking Account: Average Balance Invalid Input
Term and Other Loans: Description: Invalid Input
Average Balance: Invalid Input
Description: Invalid Input
Average Balance: Invalid Input

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Are Loans paid as agreed? Yes No If no explain Invalid Input noExplain Invalid Input
Authorized Applicant Signature Invalid Input Date Invalid Input

Notice of Right to Request Specific Reasons for Credit Denial (for Business Credit) If applying for business credit, and if your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact the Credit Dept. as shown below within sixty (60) days from the date you are notified of our decision: Walla Walla Farmers Co-op, Credit Dept., PO Box 928, Walla Walla, WA 99362 Phone (509) 525-6690 We will send you a written statement of reason for the denial within thirty (30) days of receiving your request.

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APPLICATION AGREEMENT AND SIGNATURES I/We certify that the information provided in the application is true and correct, and I/we authorize Walla Walla Farmers Co-op (“the Co-op”) to make or have any credit, employment or investigative inquiries it deems necessary for the extension of credit and the collection of any amounts owing. The Co-op is also authorized to furnish information about my/our account to consumer reporting agencies and other agencies who may properly receive that information. If the applicant is an entity, I hereby confirm that I have the authority to sign this Application and Agreement on its behalf and that my signature will be all that is necessary in order for this Application and Agreement to be binding on such entity. If the Co-op has to refer the account for collection to an attorney or take any other action concerning this Application and Agreement, I/we will pay to the extent permitted by law with or without suit and upon appeal, all reasonable attorney fees and court costs incurred by the Co-op. By my/our signature(s), I/we acknowledge that this Agreement is the full agreement between myself/ourselves and the Co-op and that the Agreement is fully integrated and incorporates all of the Co-op’s credit policies, as now written or as they may be subsequently amended. It is further acknowledged and agreed that the terms are severable such that the invalidity of any one term does not affect the remaining terms of the Agreement, and that any disputes arising under this Agreement are subject to the jurisdiction of the courts for the State of Washington and that venue will be proper in Walla Walla County, Washington. Washington law applies to the interpretation of this Agreement. I/we am/are applying for a Cardtrol Operating Card, and if I/we subsequently qualify, I/we agree to be bound by the terms of the Cardtrol Operating Card Agreement and Disclosures which are available and will be forwarded to me.

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Name of Commercial Applicant Invalid Input Date Invalid Input
Authorized Agent or Employee of Commercial Applicant Invalid Input Guarantor Invalid Input
(Typed name and title of signatory) Invalid Input Guarantor Invalid Input