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Form #1357

APPLICATION FOR OPEN ACCOUNT CREDIT FOR STOCKING DEALERS

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APPLICATION FOR OPEN ACCOUNT CREDIT FOR STOCKING DEALERS

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APPLICATION FOR OPEN ACCOUNT CREDIT

 FOR STOCKING DEALERS

 

 

(Please Fill Out Completely and Legibly)

COMPANY NAME:  ________________________________

D/B/A:  ___________________________________________

BILLING ADDRESS:  ______________________________________________________________________

______________________________________________________________________

SHIPPING ADDRESS:  ______________________________________________________________________

______________________________________________________________________

PHONE NUMBER:  ___________________________

FAX NUMBER:  ______________________________

OWNER(S) NAME:  ___________________________

SALES TAX NUMBER:  _______________________

BUYER:  ____________________________________

STORE SIZE:  ____________________________ SQ. FT.

BOOKKEEPER:  ______________________________

NUMBER OF EMPLOYEES:  ________________

NUMBER OF YEARS IN BUSINESS UNDER CURRENT OWNER:  ___________

PURCHASE SUBJECT TO SALES TAX?  [   ]  YES  [   ]  NO

PURCHASE ORDERS REQUIRED?  [   ]  YES  [   ]  NO

LINE OF CREDIT REQUESTED:  $____________________

 

TYPE OF COMPANY:  [   ]  SOLE PROPRIETORSHIP  [   ]  PRIVATE CORP.

                                        [   ]  PARTNERSHIP  [   ]  PUBLIC CORP.

                                        [   ]  OTHER ___________________________

 

TYPE OF BUSINESS:  [   ]  ANTIQUES  [   ]  CATALOG  [   ]  FLORIST

                                       [   ]  GIFTS  [   ]  DEPARTMENT

                                       [   ]  OTHER ___________________________

 

BANK BRANCH:  __________________________________

BANK CONTACT:  _________________________________

BANK ADDRESS:  _________________________________

PHONE NUMBER:  _________________________________

FAX NUMBER:  ____________________________________

ACCOUNT NUMBER:  ______________________________

 

TRADE REFERENCES

(Please give complete addresses and account number(s))

COMPANY:  ________________________________________

ADDRESS:  _________________________________________

PHONE:  _________________    FAX:  __________________

ACCOUNT NUMBER:  ________________________________

COMPANY:  ________________________________________

ADDRESS:  _________________________________________

PHONE:  _________________    FAX:  __________________

ACCOUNT NUMBER:  ________________________________

COMPANY:  ________________________________________

ADDRESS:  _________________________________________

PHONE:  _________________    FAX:  __________________

ACCOUNT NUMBER:  ________________________________

COMPANY:  ________________________________________

ADDRESS:  _________________________________________

PHONE:  _________________    FAX:  __________________

ACCOUNT NUMBER:  ________________________________

To the best of my knowledge the above facts are represented as true.  I am aware that falsification of any of this information may result in denial of credit by ____________

_________________________ Inc.  My signature below indicates my permission for ___________________________________ Inc., to obtain credit information from the sources I have referenced, including any external credit reporting source, and any consumer credit agency.  I understand that interest will be charged on all past due balances at a rate of ________% per month.

 

 

________________________________________________

AUTHORIZED INDIVIDUAL (Please Print)

 

________________________________________________

SIGNATURE

 

____________________________

DATE


Page 1 Page 2 Page 3
 
Contributed by
AAA, LLC		  
Total Forms Contributed 69
 

See All AAA, LLC's Forms
 

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Terms Of Use

Submissions to this site, including any legal or business forms, posts, responses to questions or other communications by contributors are not intended as and should not be construed as legal advice. You are strongly encouraged to consult competent legal council before engaging in any action based upon content contained on this site.

These downloadable forms are only for personal use. Retransmission, redistribution, or any other commercial use is prohibited. This includes reposting forms from this site to another site offering free legal or other document forms for download.

Please note that the donator may have included different usage terms regarding this form, and you agree to abide by these terms. It is highly recommended that you have a licensed attorney review any legal documents for which you are searching in order to make sure that your needs are being properly and completely satisfied.

Your use of this site constitutes your acceptance of our terms of use and your agreement to hold this site, its officers, employees and any contributors to this site harmless for any damage you might incur from your use of any submissions contained on this site. If you do not agree to the above terms, please do not proceed.

These forms are provided to assist business owners and others in understanding important points to consider in different transactions. They are offered with the understanding that no legal advice, accounting, or other professional service is being offered by these documents or on this website. Laws vary in the different states. Agreements acceptable in one state may not be enforced the same way under the laws of another state. Also, agreements should relate specifically to the particular facts of each situation. Therefore, it is important to consult legal counsel whenever utilizing these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com is not engaged in recommending or referring members on the site or making claims about the competence, character or qualifications of its participating members.
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Keywords: APPLICATION,OPEN,ACCOUNT,CREDIT,STOCKING,DEALERS
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