CREDIT APPLICATION
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and Fax To:(207) 768-5016
Rathbun Lumber Co. CREDIT APPLICATION Type of Account you are applying for (check one) Builder/contractor (B)______Commercial Business (C)_____Homeowner (H)_________ ACCOUNT NAME_______________________________________________ DATE:_______________ Physical Address:____________________________Home Address:_______________________________ ______________________________________________________________________________________ Business/work Phone_________________________Home Phone_________________________________ Businesss Fax_______________________________Cell phone___________________________________ Federal Tax ID______________________________E-mail______________________________________ PRINCIPALS (If a business, list all owners. Homeowners with property owned jointly, list both names if different from above.) Name______________________________________Name______________________________________ Address____________________________________Address_____________________________________ ______________________________________________________________________________________
BANK REFERENCES Savings- Bank Name__________________Address______________________Phone/fax______________ Loan-Bank Name_____________________Address______________________Phone/fax______________ Checking-Bank Name_________________Address______________ ________Phone/fax______________ SUPPLIER/COMMERCIAL REFERENCES (at least 2 must be local) Name______________________________Address________________________Phone________________ Name______________________________Address________________________Phone________________ Name______________________________Address________________________Phone________________
Amount of credit Requested: $_________________ I hereby certify that all statements accompanying and contained in this application are true and made for the purposes of obtaining credit and in consideration of Rathbun Lumber Co. selling to me or my agent(s), I agree to the following terms: 1) To pay the amount owed in full by the 30th day of the month following the statement date. 2) To pay a service charge for late payment, computed at an annual percentage rate of 18%. 3) If this account is placed for collection, I agree to pay all reasonable charges for collection, including attorney’s fees. I further agree that a charge of 25% of the claim shall be considered reasonable as an attorney’s fee, and 30% of the claim shall be considered reasonable as a collection fee. 4) The undersigned authorize any credit investigation and release of credit information needed for action on this credit application and hereby indemnify the above company and Trade Credit Corporation, from any liability resulting from their credit survey. It is also acknowledged and agreed that accounts receivable information may be reported by the company to various consumer and commercial credit agencies.
EXECUTED AS A SEALED INSTRUMENT
Account Name:____________________________________________________ Signature:_____________________________________Signature_________________________________ Title:_______________________________________Title:______________________________________
SIGNATURE MUST BE THAT OF A PRINCIPAL. If property is jointly owned, all signatures required.
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