|
|
Sarasota Co. Phone
Sarasota Co, Fax |
(941) 429-3600
(941) 429-3660 |
|
|
|
APPLICATION FOR CREDIT |
|
|
NAME OF BUSINESS |
|
ADDRESS |
|
BILLING ADDRESS |
|
CTY, STATE, ZIP |
|
PHONE |
|
CONTACT |
|
TYPE OF FIRM |
C- CORPORATION |
|
S- CORPORATION |
|
SP- SOLE PROPRIETOR |
|
JV- CORPORATION |
|
0- OTHER |
|
|
|
|
SOCIAL SEC. # OR FED. ID # |
|
DUN & BRADSTREET # |
|
NAMES OF OFFICERS, PARTNERS, ETC. : |
|
|
YEARS IN BUSINESS ________________________________________________________________________________ |
GEOGRAPHIC AREA OF WORK______________________________________________________________________ |
HAS FIRM EVER FAILED TO PAY A LEGAL OBLIGATION ?_____________________________________________ |
HAS FIRM EVER BEEN IN BANKRUPTCY ?____________________________________________________________ |
HAVE YOU APPLIED FOR AN ACCOUNT HERE BEFORE ? ________ IF YES, WHEN ? _______________________ |
CREDIT LIMIT REQUESTED:____________________ PURCHASE ORDER REQUIRED ? ______________________ |
|
* TERMS: NET 30 DAYS |
|
* NOTICE TO OWNER WILL BE SENT IF NOT PAID WITHIN TERMS ! |
|
BANK REFERENCE: |
|
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT ( e.g. loan officer) ____________________________ |
|
MAJOR BUSINESS / TRADE REFERENCES: |
#1. |
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT |
|
|
#2. |
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT |
|
|
#3. |
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT |
|
|
#4. |
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT |
|
|
#5. |
NAME |
|
|
ADDRESS |
|
|
PHONE # |
|
|
CONTACT |
|
|
|
**By signing this application and in consideration of Davidson Insulation & Acoustics, Inc., granting credit, the undersigned personally guarantees the payment of any such sums or debts which may become due and payable to Davidson Insulation & Acoustics, Inc., and the undersigned further binds the coporation, partnership or business entity to the payment of any such sums or debts which may become due and payable to Davidson Insulation & Acoustics, Inc. which the undersigned represents. Upon approval the applicant understands that all purchases are due Net 30 days. In the event collection proceedings ar required to collect on a delinquent account, Davidson Insulation & Acoustics, Inc., shall be entitled to receive all costs of collection, including, but not limited to, reasonable attorney's fees, court costs and interest. I (we) hereby grant Davidson Insulation & Acoustics, Inc. permission to contact my (our) creditors for the purpose of establishing credit terms. |
|
DATE: |
|
|
SIGNATURE OF APPLICANT: |
|
TITLE: |
|
|
|
|
|
|
TITLE: _______________________________________________ |
|
SALESPERSON ________________________________________ |
|
DATE SUBMITTED: ___________________________________ |
|
APPROVED BY: _______________________________________ |
|
DATE: _______________________________________________ |
|
CREDIT LIMIT: _______________________________________ |
|
|