Southern Star Central Gas Pipeline, Inc.

Original Volume No. 1

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Effective Date: 05/01/2003, Docket: RP03-352-000, Status: Effective

Original Sheet No. 484 Original Sheet No. 484 : Superseded

 

EXHIBIT C

 

SOUTHERN STAR CENTRAL GAS PIPELINE, INC.

CREDIT APPLICATION

 

GENERAL INFORMATION

 

Name ______________________________________________________________________

 

Street ____________________________________________________________________

 

City _______________________________State _________Zip Code________________

 

Contact Person ______________________________Telephone (_____)_____________

 

Business Structure:

 

______ Sole Proprietor ______ Partnership

 

______ Corporation ______ Joint

Venture

 

______ Other (describe)_________________________________________

 

Nature of Business ________________________________________________________

 

Tax I.D. #___________ Yrs in Business ________ # of Employees ________

 

Identify parent company, if applicable:

 

___________________________________________________________________________

 

FINANCIAL STATEMENTS

 

· Enclose most recent annual report 10-K or separate audited annual

financial statements (Balance Sheet, Income Statement and Statement of

Cash Flows). If audited statements are not available, then Shipper

should provide an attestation by its Chief Financial Officer that the

information reflected in the unaudited statements submitted by Shipper

is true, correct and a fair representation of Shipper's financial

condition.

 

· Enclose most recent quarterly or monthly financial statements with an

attestation like the one described above.

 

· Southern Star reserves the right to ask for additional evidence of

creditworthiness, as it deems necessary.

 

Evaluations cannot be completed unless this information is provided.