ication via FAX (828) 438-5213 or email to DEALER INFORMATION REQUESTED CREDIT AMOUNTS ■ Cash Before Delivery Legal Name: Trade Name(s): Former Legal or Trade Name(s), if any: Type of Organization: ■ C Corp ■ S Corp ■ Gen. Pan. K Ltd. Part. ■ Proprietorship ■ LLC ■ Other: County and State Organized: Year

FurnitureBrands Credit Application -5213 itDe t DEALER I EQUESTED CREDIT AMOUNTS a Cash Before Delivery Legal Name: Trade Name(s): Former Legal or Trade Name(s). if any: Type of Organization: 0 C Corp MI S Corp 0 Gen. Part • Ltd. Part. Proprietorship 0 LLC 0 Other County and S Year Organized: 2-20