Austin Turf & Tractor Credit Application Form 809 Steve Hawkins Parkway Please complete, sign and return this form along with Marble Falls, Texas 78654 your Financial Statements to: 800-528-4290 Fax: 775-628-7095, or Email: email@example.com Corporate Address: Shipping Address: Company Name Company Name Attention Attention Street Address Street Address City, State, Zip City, State, Zip Telephone Telephone Billing Information Austin Turf & Tractor delivers invoices and statements by email or fax only. We are able to deliver to multiple email addresses or fax numbers or any combination thereof. Please provide us with the email addresses and fax numbers for invoice and statement delivery. Invoices Statements Email1 Email1 Email2 Email2 Email3 Email3 Fax1 Fax1 Fax2l Fax2 General Information Federal Tax ID Company Form Corporation State of ___Individual ___Partnership ___LLC ___Corporation ___Sub S Dun & Bradstreet (D&B) No. In Business Since Date Company Web Address Amount of Credit Desired Principal/Owner Title Email Telephone Contact Information Controller Name Email Telephone Accounts Payable Contact Name Email Telephone Purchasing Agent Name Email Telephone Ordering Information Are Written Purchase Orders Required Are Items for Resale? Resale No. (If for resale, provide Copy of Certificate) ___Yes ___No ___Yes ___No Bank and Trade References Bank Name Branch Name Bank Contact Officer Telephone Bank Address City, State, Zip Account Type and No. Vendor Vendor Contact Telephone Email Fax Vendor Vendor Contact Telephone Email Fax Terms and Conditions All accounts are COD until a credit application has been competed, reviewed and approved. It is agreed that the buyer will pay all invoices in accordance with the stated terms (Austin Turf & Tractor Standard Credit Terms) and that finance charges may be assessed on delinquent invoices at the rate of 1½% per month until paid in full, together with any court costs, attorney’s fees and costs of collection the seller may incur in enforcing the terms of this agreement. It is also agreed that this or any other contemporaneous or subsequent agreement will be governed as to validity, interpretation, construction, effect and in all other respects by the laws of the State of Texas. Acceptance and Approval Signing this agreement indicates that you accept the terms and conditions stated, you confirm that the information supplied on this Credit Application Form is true and correct and you authorize your bank and trade references to release information as desired by the seller’s usual credit investigation. Printed Name of Authorized Representative Title Agreed and Accepted, Signed (Required) Date Telephone Email REQUIRED ATTACHMENTS: Please supply your most recent annual financial statement including balance sheet, income statement, cash flow statement and accompanying footnotes. If the annual statements are more than nine months old please also supply statements for the last two quarters. If sales tax exempt please complete the attached Exemption Certificate and submit it with the Credit Application Form.
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