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CF-910-01-3.0 Credit Application Form (for client) ENGLISH

CF-910-01-3.0 Credit Application Form (for client) ENGLISH

CF-910-01-3.0 Credit Application Form (for client) ENGLISH

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Corpac Steel Products, Corp.20803 Biscayne Blvd., Suite 502Aventura, FL 33180, USATel. (305) 918 0540Fax. (305) 918 0570APPLICATION FOR CREDITLegal Name of Business:Business Physical Address: City: State: Zip:Business Billing Address: City: State: Zip:(Use an extra sheet <strong>for</strong> additional locations)E-mail address:Phone:Facsimile:<strong>Form</strong>er Business Name / DBA:Check Legal Status: Propietorship Partnership Corporation Limited Liability CompanyIs Company Publicly Traded: Yes No If Yes, please provideTicker Symbol:List All Owners, Partners, or Corporate Officers (and titles):State of Incorporation/Registration of Partnership:Date Incorporated or Established:Type of Business:Tax Payer Identification No.:DUNS No.:Accounts Payable Contact Name: Phone: Email:Taxable: Yes No If Yes, Tax Rate: State: County: City:Exempt: Yes No If Yes, Tax Exemption No.:Attach Copy of Exemption Certificate(<strong>Application</strong> will not be processed without this document)Banking References:Bank Name:Bank Officer's Name:Account No.:Bank Phone No.:Bank Officer's Email:Bank Fax No.:Trading References:FINANCE - <strong>Credit</strong> Reference <strong>Form</strong> <strong>CF</strong>-<strong>910</strong>-<strong>01</strong>, Version <strong>3.0</strong>, 5/19/2<strong>01</strong>1 Page 1 of 3


Corpac Steel Products, Corp.20803 Biscayne Blvd., Suite 502Aventura, FL 33180, USATel. (305) 918 0540Fax. (305) 918 0570APPLICATION FOR CREDITCompany NameContact Name FaxContact Name PhoneContact NameContact Name EmailCompany NameContact Name FaxContact Name PhoneContact NameContact Name EmailCompany NameContact Name FaxContact Name PhoneContact NameContact Name EmailCompany NameContact Name FaxContact Name PhoneContact NameContact Name EmailWe herein make application to Corpac Steel Products, Corp. <strong>for</strong> credit and/or to update and reconfirm our existing accounts and balances with Corpac Steel Products,Corp. We agree to provide Corpac Steel Products, Corp. with a current financial statement if requested. If credit is granted, we agree to pay all invoices according tothe terms stated on each invoice. In the event payment is not made and/or this account is referred <strong>for</strong> collection, we also understand that a late charge on any unpaidbalance will be charged at 1.5% monthly or the maximum rate allowed by law. If suit or action by an attorney/collection agency is instituted, we promise to payreasonable attorney/collection agency fees and costs in said suit or action. It is specifically understood that all billing, accounts receivables and credit functions areprocessed through Corpac Steel Products, Corp. Corporate Office in North Miami Beach, FL. Consequently, it is understood that in the event of suit or action, sameshall take place in North Miami Beach, FL or the city, county, state from which the product was shipped. We give our permission to Corpac Steel Products, Corp. and/orit’s agents to verify and/or supplement the in<strong>for</strong>mation stated hereon. We will provide written notice to the credit department of Corpac Steel Products, Corp. in the eventwe sell, transfer, change the ownership, or change the legal structure of our business. Guarantor expressly waives notice of acceptance of this guarantee and waivesdiligence on the part of Corpac Steel Products, Corp. in the collection of the indebtedness. It shall not be necessary <strong>for</strong> Corpac Steel Products, Corp., be<strong>for</strong>e en<strong>for</strong>cingpayments by Guarantor of the indebtedness, to first institute suit or pursue or exhaust remedies against obligor, or against any security that obligor may have. Further,Corpac Steel Products, Corp. shall have the privilege of granting such renewals and extensions as it may deem proper, and Guarantor waives notice of nonpayment andshall remain obligated <strong>for</strong> the full amount of the indebtedness, including any extensions of additional credit.By __________________________Owner/Corporate Officers/Co.For value resolved, the undersigned agrees to unconditionally guarantee payment of all sums owed pursuant to this Agreement and further agrees to its terms regardingvenue and jurisdiction. This is intended to be and is a continuing guarantee and shall not be revoked except by written notice to the credit department of Corpac SteelProducts, Corp.The undersigned hereby consent(s) to Corpac Steel Products, Corp. use of a non-business consumer credit report on the undersigned in order to further evaluate thecredit worthiness of the undersigned as principal(s), proprietor(s) and/or guarantor(s) in connection with the extension of business credit as contemplated by this creditapplication. The undersigned hereby authorize(s) Corpac Steel Products, Corp. to utilize a consumer credit report on the undersigned from time to time in connectionwith the extension <strong>for</strong> credit represented by this credit application. The undersigned as (an) individual(s) herby knowingly consent to the use of such credit reportconsistent with the Federal Fair <strong>Credit</strong> Reporting Act as contained in 15 U.S.C. @ 1681 at seq…______________________Guarantor______________________DateBANK REFERENCE AUTHORIZATIONFINANCE - <strong>Credit</strong> Reference <strong>Form</strong> <strong>CF</strong>-<strong>910</strong>-<strong>01</strong>, Version <strong>3.0</strong>, 5/19/2<strong>01</strong>1 Page 2 of 3


Corpac Steel Products, Corp.20803 Biscayne Blvd., Suite 502Aventura, FL 33180, USATel. (305) 918 0540Fax. (305) 918 0570APPLICATION FOR CREDITBank Name: Date: Fax:Attention: Phone: Email:Our Company,is processing an account application withCorpac Steel Products, Corp. We hereby authorized you to furnish them any bank and/or credit in<strong>for</strong>mation regarding account(s) with you so that theymay adequately evaluate our company. Your prompt response to this request would be highly appreciated. A facsimile copy of this authorization isvalid as its original.Print NameBank Account Number (1)Authorized SignatureBank Account Number (2)BANK VERIFICATION - to be completed by BANKBank Name/Branch:Name of Office(s):Name of the above Accounts per Bank's Record:Type of Accounts: CheckingSavingsPayroll OthersDate Opened:<strong>Credit</strong> Rating:Current Balance:Average Daily Balance:Comments:<strong>Credit</strong> lines available and/or in use:Return / NSF Checks(s)? None YesHow many?Last NSF Date:E-mail address:Phone:Facsimile:Verified by: Title: Date:FAX REQUESTUpon completion, Bank Officer please reply to:Corpac Seet Products, Corp.Fax. (305) 918 057020803 Biscayne Blvd., Suite 502, Aventura, FL 33180, USATel. (305) 918 0540FINANCE - <strong>Credit</strong> Reference <strong>Form</strong> <strong>CF</strong>-<strong>910</strong>-<strong>01</strong>, Version <strong>3.0</strong>, 5/19/2<strong>01</strong>1 Page 3 of 3

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