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11760 Clay Road – Houston, Texas 77043 TEL 713-856-9334 FAX 713

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11760 Clay Road – Houston, Texas 77043 TEL  713-856-9334 FAX  713 Powered By Docstoc
					                          11760 Clay Road – Houston, Texas 77043
                           TEL: 713-856-9334 FAX: 713-856-9704
                              Accounting Fax # 713-856-7125
                                     Credit Application
                            (All information must be completed)

  Sales Representative #___________________________Date____________________________
Corporate Name (if any)_________________________________________________________
Trade Name__________________________________Type of Business__________________
Shipping Address________________________City______________State________Zip_____
Billing Address__________________________City______________State________Zip______
Phone Number_(___)_____________________Fax Number_(___)_______________________
Billing Contact Name____________________________________________________________
Former Business Name____________________PH#______________Location_____________
Name of Mortgage Co. if premises are owned________________________________________
If renting, Name of Lessor________________________________________________________
Business Operates as:_______ Sole Proprietor _________LTD. Partnership
_______Corporation
If Incorporated, State of ________Date of Incorporation________________________
Length of time in Business________________Contractor's License No.___________________
Owners or Officers:
Full Name                                     Full Name
Address                                       Address
City State Zip                                City State Zip
Phone                                         Phone
Social Sec. No.                               Social Sec. No.
Drivers License No.                           Drivers License No.
Federal Tax ID No.                            Federal Tax ID No.
                           Attach Financial Statement If Available
1) NAME_________________________________________________________________________
ADDRESS_____________________________________________________________________
PHONE #___________________________________ACCOUNT #_______________________


2) NAME_________________________________________________________________________
ADDRESS_____________________________________________________________________
PHONE #___________________________________ACCOUNT #_______________________


3) NAME_________________________________________________________________________
ADDRESS_____________________________________________________________________
PHONE #___________________________________ACCOUNT #_______________________


4) NAME_________________________________________________________________________
ADDRESS_____________________________________________________________________
PHONE #___________________________________ACCOUNT #_______________________


In consideration of Stone Quarry, Inc. extending credit, I/we do hereby agree jointly and severally to pay all goods,
wares and merchandise supplied to any of us, and/or the above named business. In the event it becomes necessary to
place to account with an attorney for collection we agree to pay all the cost of collection including attorney fees, and
hereby waive our privilege of being sued in the county of our residence and agree that if suit is brought that the
venue will be in Harris County, Texas at Stone Quarry, Inc. option. We agree to immediately notify Stone Quarry,
Inc. of any change of ownership, address, or form of said business.

SIGNED___________________________TITLE____________________________


SIGNED___________________________TITLE____________________________


PLEASE NOTE THAT THE ATTACHED PERSONAL GUARANTEE AND
AUTHORIZATION TO RELEASE BANK INFORMATION MUST BE COMPLETED AND
SIGNED
                                         GUARANTEE

FOR VALUE RECEIVED, the undersigned endorser(s), do hereby jointly and severally,
unconditionally and irrevocably, guarantee to Stone Quarry, Inc. the prompt payment of all
amounts due on the account of
Within 30 days of the date of invoice and waive any requirement that any action be taken notice
of acceptance, presentment, demand for payment, notice of dishonor, protest, or notice of
nonpayment, and all other forms of notice whatsoever and diligence in collection with respect to
the obligations covered hereunder. PLEASE SIGN AS AN INDIVIDUAL*** NOT AS A
CORPORATE OFFICER.

                                       “GUARANTORS”

PLEASE SIGN ON THE LINE DIRECTLY BELOW.


Signature (No Titles)


Print Name Here


Signature (No Titles)


Print Name Here


                                PERSONAL CREDIT REPORT

I,                                    Authorize Stone Quarry, Inc. to check my personal
credit thru T.R.W. Credit Bureau. Would you please write down your date of
birth



(Signature)
                                         Bank Reference

Bank Name                                        Account Name
Bank Address



                                             (Street)


                             (City)               (State)       (Zip)


                                             (Phone)

The undersigned hereby authorizes the Bank to release to Stone Quarry, Inc., all the
information requested. It is understood that all information will be kept confidential by
Stone Quarry, Inc.


Dated this the                                   day of                       , 20




                                                                   (Owner, Partner, or Corporation)


                                                          By:



                                                                (Officer and Title-Corporation Only)


                                          Company Name:
                                          QUESTIONAIRE


*NOTE: Before charge account is established this original Credit Application must be
completed in hand written or typed form and returned to our Credit Department at the
address below.

   ●   Do you require Purchase Orders?                     YES               NO
   ●   Are authorized purchases required?                  YES               NO
   ●   Are you taxable?                                    YES               NO
       (If no, please submit Tax Resale Certificate with this application)


   ●   Customer Type (Circle One)
              A. Tile Contractor
              B. Pool
              C. Showroom
              D. Commercial Contractor
              E. Other




Stone Quarry
Credit Department
11760 Clay Road
Houston, TX 77043
Fax# (713) 856-7125


We at Stone Quarry, Inc. appreciate your taking the time to complete this
application for credit.
                        RETURN ORIGINAL CREDIT APPLICATION

				
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