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Get Floyd's Truck Center Application for Open Charge Account

APPLICATION FOR OPEN CHARGE ACCOUNT INDIVIDUAL If you are an individual applying for credit you must provide your Social Security Number. You do not need to provide credit references. BUSINESS If you are a business applying for credit you must provide your federal EIN number and 3 good credit references. 308 632-2911 Fax 308 632-5634 NAME BUSINESS NAME BUSINESS PHONE FAX CELL COMPLETE ADDRESS CREDIT LIMIT DESIRED BANK ACCT WITH S S /EIN CREDIT REFERENCES OTHER CHARGE ACCOUNTS We MUST have name address phone fax zip code in order to process Name Telephone Address Do you pay from invoices Yes No Do you require purchase orders Yes No Do you pay Sales Tax Yes No Note Please return a signed exempt sales tax certificate if exempt. We hereby represent that the foregoing statement is in all respects true and that the same shows all our debts and liabilities and that said statement is made for the purpose of inducing Floyd s Truck Center Inc* to grant us an open charge account. WE AGREE TO PAY OUR OPEN ACCOUNT ON THE TENTH OF THE MONTH FOLLOWING PURCHASES* Company Name Date Signed Print FOR OFFICE USE ONELY Credit References Contacted Approved Disapproved Limit Letter of Approval Sent Yes No Account Tax Exempt Certificate Received Yes No Date Account Opened. You do not need to provide credit references. BUSINESS If you are a business applying for credit you must provide your federal EIN number and 3 good credit references. 308 632-2911 Fax 308 632-5634 NAME BUSINESS NAME BUSINESS PHONE FAX CELL COMPLETE ADDRESS CREDIT LIMIT DESIRED BANK ACCT WITH S S /EIN CREDIT REFERENCES OTHER CHARGE ACCOUNTS We MUST have name address phone fax zip code in order to process Name Telephone Address Do you pay from invoices Yes No Do you require purchase orders Yes No Do you pay Sales Tax Yes No Note Please return a signed exempt sales tax certificate if exempt. 308 632-2911 Fax 308 632-5634 NAME BUSINESS NAME BUSINESS PHONE FAX CELL COMPLETE ADDRESS CREDIT LIMIT DESIRED BANK ACCT WITH S S /EIN CREDIT REFERENCES OTHER CHARGE ACCOUNTS We MUST have name address phone fax zip code in order to process Name Telephone Address Do you pay from invoices Yes No Do you require purchase orders Yes No Do you pay Sales Tax Yes No Note Please return a signed exempt sales tax certificate if exempt. We hereby represent that the foregoing statement is in all respects true and that the same shows all our debts and liabilities and that said statement is made for the purpose of inducing Floyd s Truck Center Inc* to grant us an open charge account. We hereby represent that the foregoing statement is in all respects true and that the same shows all our debts and liabilities and that said statement is made for the purpose of inducing Floyd s Truck Center Inc* to grant us an open charge account. WE AGREE TO PAY OUR OPEN ACCOUNT ON THE TENTH OF THE MONTH FOLLOWING PURCHASES* Company Name Date Signed Print FOR OFFICE USE ONELY Credit References Contacted Approved Disapproved Limit Letter of Approval Sent Yes No Account Tax Exempt Certificate Received Yes No Date Account Opened. .

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Keywords relevant to Floyd's Truck Center Application for Open Charge Account

  • liabilities
  • inducing
  • exempt
  • invoices
  • purchases
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