BORROWER’S CERTIFICATE
TO: LANDMARK COMMUNITY BANK, N.A.
Pursuant
to the Security Agreement between Landmark Community Bank, N.A. and the
undersigned Borrower, any amendment thereto, and any Loan Agreement, Borrower
hereby reaffirms all warranties made in the Agreement(s) and certified and
warrants that as of __________,_20_____.
Borrower holds subject to the security interest of the Bank, the
following collateral:
INVENTORY
(The
lower of cost or market value of the Borrower’s Inventory)
1. Finished Goods $_______________
2. Work in Process $_______________
3. Raw Material $_______________
4. TOTAL INVENTORY $________________
5. Maximum advance on Inventory
permitted under lending formula
(________% of 4)
$________________
ACCOUNTS
RECEIVABLE
6. The total face amount of all Borrower’s
Receivables: $_______________
7. Total Receivables less than
90 days old $_____________
8. Maximum advance on Accounts
Receivable
permitted under lending formula
(________% of 7) $________________
9. AGGREGATE PERMITTED ADVANCE (5+8) $________________
Borrower
further certifies and warrants that no default under the Agreement (s) or the
Obligation secured thereby is existing at the date of this Certificate and to
the best of the knowledge and belief of the officer of the Borrower executing
this Certificate, there has not been (except as may be otherwise indicated
below) any change since the computation date specified above which would
materially reduce the amounts shown above if such amounts were computed as of
the date of this Certificate.
Date:
______________ Borrower:
_______________________________
Title: _______________________________
Company Name:
_________________________