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Orange County NC 50 <br /> Radio Communication Tower and System Infrastructure Upgrade <br /> RF Coverage and Sites/Towers <br /> j Credit Application <br /> Business Entity Name: Web Site: <br /> Phone: Fax: <br /> Address: For: years <br /> Street city State ZIP Code <br /> Billing Address: _ <br /> Street City State ZIP Code <br /> Previous Address: <br /> Street City State ZIP Code <br /> Federal Tax I.D.Number: D/B/A: <br /> Parent Company: It Locations:_ <br /> Address: _ <br /> Street City State ZIP Code <br /> Subs Idlaries/Affiilates: <br /> Type of Business: Date Established: <br /> Does State/County/City require a License? Yes ❑ No ❑ If Yes,License#: <br /> Company Status: ❑Sole Proprietorship* ❑Partnership* ❑Corporation ❑LLC ❑LLP <br /> *Attached Personal Guarantee must be submitted with credit application. <br /> Type of Corporation: ❑ Public ❑ Private Owned State of Incorporation: <br /> Financial Statements Available? ❑ Yes ❑ No <br /> Principle: <br /> Name Title SS# Home Address <br /> Principle: <br /> Nama Title SS# Home Address <br /> Trade References:(Minimum 3 name suppliers of major products and services) <br /> Name Contact Phone Account# <br /> Name Contact Phone Account# <br /> Name Contact Phone Account r <br /> i <br /> August 30, 2013 Page 49 of 51 ' <br />