Application for Commercial Credit

A Company Federal ID (EIN) or Owner #1 Social Security Number is required.

Owner / Principal Officer Information

Owner #1

Owner #2 (if applicable)

The undersigned hereby represents and warrants to Lucatelli Coffee LLC and on behalf of the Company agrees that (i) the information set forth in this application is true, correct, and complete as of the date of this application, (ii) the undersigned is authorized to execute this application on behalf of and to bind the Company, (iii) Lucatelli Coffee is hereby authorized to make all inquiries regarding Company, officers and owners necessary to qualify the applicant for the requested services, including requesting necessary credit reports and to renew those inquiries from time to time, including requesting additional up-to-date credit reports, and (iv) to notify Lucatelli of any material adverse change in the financial condition of the Company and its controlling owners, respectively. In consideration of products and services provided to Company, the Company unconditionally agrees to pay Lucatelli for the services and products rendered. The undersigned acknowledges receipt and understanding of, and agreement to the provisions of this document.