Credit Application


Business Account
Business Phone:
Account Number:
Federal I.D. Tax #:
Sales Tax # :
Exact Name:
Address:
City: State:

Zip:

Officers
President:

Corporation
Vice President: Partnership
Treasurer: Corporation
Secretary:
Billing
Address
(If different
from above)
Address:
City: State:

Zip:

Bank Reference
Name:
Address:
City: State:

Zip:

Contact Person:
Purchase Order:
Job Location:
Persons Authorized to Charge:
#1
#2

#3
#4

Credit
Reference
Name:
Address:
City: State:

Zip:


Name:
Address:
City: State:

Zip:


Name:
Address:
City: State:

Zip:


Name:
Address:
City: State:

Zip:


TERMS OF SALE:
All charges are
due in full upon rendering of monthly statement or 30 days
from date of purchase. On balances more than 30 days old, it
is agreed that a Finance charge of 1 1/2% per month will be
made.
ATTORNEY’S FEES:
Should the services of an attorney be
required to enforce any part of this Credit Agreement, of for
the collection of a delinquent account from the undersigned
Customer or Guarantor it is agreed that the Debtor will pay
reasonable costs of collection including a reasonable attorney’s
fee.
CREDIT STATUTE:
The Federal Equal Credit Opportunity Act
prohibits creditors from discriminating against credit applicants
on the basis of sex or marital status. AUTHORIZATION: Taylor
Rental Center is authorized to investigate the above credit
references and any other sources of credit information on undersigned
customer.
Name:
Date:
By: (Name & Title)
Question or Comment: