On June 09, 2021 a
Exhibit,Appendix
was filed
involving a dispute between
Scott Usa, Inc.,
and
Advance Cyclery, Inc.,
Richard Wright,
for Other Matters - Contract - Other
in the District Court of Onondaga County.
Preview
FILED: ONONDAGA COUNTY CLERK 01/21/2022 12:30 PM INDEX NO. 005287/2021
NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 01/21/2022
EXHIBIT A
FILED: ONONDAGA COUNTY CLERK 01/21/2022 12:30 PM INDEX NO. 005287/2021
NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 01/21/2022
0& 12-2003 15: 12 3156734454 PAGE1
ForintemaluseO
nesalecertificateneceived
SCOTT USA CREDIT APPLICATION
Please fax campetedappikãUGaa or amail
to 208,622.1005 to cred; scettusa.cont
ew Dealer New Owner F Other
Dealer requesting: Mdinana:Services:
f~
ine of Credit order a bility)
B26 Access {website
CreditCardAccount F Dealer Locator
LegalName /ӌ
DealerTrade Narne:
FederalTaxID ff: D(
214n
BusinessPhone: |9 LjLScle 3 SusinessFax:
Email -.4>$econdary Email:NO 4 £4•
dy d CM)WR..(
allilng Address:
City: State: Zip: 2..1
ShippingAddress:
City: - __ 5tate: . Zip: .--
Type of Dealership:
rpora tion artners hip Proprietorship F other _
How long in businessh Yrs. . Mos.
Name and flome Address of All Owners/Officers:
1. /,g.4rfr ._{f /'WC Title:bf., % Owned:
Home Phone: *>3
2. Title: % Owned: __
___ Home Phone:
55#:
3, Title: % Owned:
Home Phone:
SS#:
Managerof store (if not owner):
_ f/ _L
F
Typeof Duilding: ShoppingCenter ee 5tanding F Other
Rent (Month): S. Leasetxpires: owned (M~*;:g:Amt): $
Total store area (sq. ft.}: Display area: Repair & stora e arca:
current year operating statement (Profit & Loss)from dealor. If attached
F Yes o
Dealer initials:
FILED: ONONDAGA COUNTY CLERK 01/21/2022 12:30 PM INDEX NO. 005287/2021
NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 01/21/2022
04-12-2003 15: 22 3156734454 PAGE4
PondingOrder/order attached:
F Yes F No
n e: A-f Account #:
Address: 4pp t
City/State/23p :9
PhoneNumber ( l|(a (rf..1 Contact Person:
TRADEREFERENCE:
Name:. An.,f } CLf Account #:
Address: 7V¿ë /> ..W- > 4 --p r29 e-A. Or fy
City/State/Zip:
FaxNumber: 2$4447C/ - 4EsContact Person:
TRADEREFERENCE:
Name: fLC / C, Account #:
Address: d-d-
City/State/Zip:
FaxNumner Ka - L-R2 w -fContact Person: .
TRADEREFERENCE:
Name: . . Account #:
Address:
City/State/Zip:
FaxNumber: __. Contact Person:
The undersignedsubmits this information foÑhe purposeof obtaining a ilne of credit from SCOTTUSA,inc. ("SCOTT")to finance the
Dealer'spurchaseof SCOTTproducts for sale asmerchandise to the public. The undon:gned representsand warrants that the above
information and any financlal statements submitted herewith are true and correct. The undersignedacknowledgesreceipt of a copy of
SCOTT'scurrent terms and conditions of sale and understandsand agreesthat all sales by 5COTTto Dealer shall be made under 5COTFs
terms and conditions of salein effect at the date of shipment. The =den%nad
further acknowledgesthat all oppWat½nsare subject to
approval and acceptanceby SCOTTat its principal office in Sun valley, Idaho. The law of the state of Idaho, excluding its choiceof law rules
governsthis application and any resulting agreement between SCOTTand the Dealer. The Dealerand the undersigned±dMde:!:
consent
and submit in the NrddktisG
of the courts of the state of Idaho Including Its courts in BlaineCounty,
The =denignadindividual who is either a principal of the credit application or a sole piüpdñúishIp
of the credit applicant, recognizing
that his or her Individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and
authorizes the use of a consumer credit report on the undent-.:d
by the above named businesscredit grantor, from time to time as
may be needed, in the credit evaluation process.
Signature: Date: 19 Ñ
Signature: Date:
Title:
2733EParleysWay,suite 204•$alt Lake(Ity, UT$4109•Phone208.622.1000••scott-sports.corn
Far20s.622.1005
Dealer Ittilials:
Document Filed Date
January 21, 2022
Case Filing Date
June 09, 2021
Category
Other Matters - Contract - Other
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