White's Lumber House Account Credit Application

HOUSE CREDIT APPLICATION
The party indicated below and the individual(s) providing personal guarantees (collectively 'Customer') acknowledge that the information and agreement set forth below are submitted in order to induce White's Lumber & Supply Co. or any affiliated entity (collectively "White's") to provide building materials and supplies on contract and/or open account. Customer warrants that all information provided is true and correct and that Customer is solvent, in good standing and able to pay for all materials and building supplies ordered, irrespective of the acts or omissions of third parties. Customer acknowledges that White's is relying on the information and warranties provided by Customer. Customer agrees to promptly provide any further financial or other information requested by White's. Any signatory expressly warrants that he or she has all requisite authority to act for Customer.
Legal Business Name*
If you are not a business, please put your full name.
Trade Name*
DBA. If you do not have one, please put N/A
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Type of Business*

Personal AccountCorporateLLCGeneral PartnershipLimited PartnershipSole ProprietorshipGovernment
How many years have you been in business under this name?
How many years have you been in business in your state?
PRINCIPALS

List Names, Addresses, Phone #s, and Social Security #s of all Principals. If there are more than 2 principals please attach information through the file upload at the end of this application.
Principal 1
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Position*
Last 4 of Social Security Number*
Principal 2
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Position
Last 4 of Social Security Number
If you need to list additional principal agents, please attach their info to this application at the bottom of the application
AUTHORIZED EMAIL ADDRESS(ES)

Required to receive monthly billing statement, copies of invoices and for account information access
Name/Title*
Email*
example@example.com
Name/Title
Email
example@example.com
TRADE REFERENCES

Please include all lumber yard accounts. Credit card accounts are not an acceptable form of trade reference.
Trade Reference 1
Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Trade Reference 2
Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Trade Reference 3
Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
COMMERCIAL BANK INFORMATION & MISCELLANEOUS INFORMATION
Bank Name*
Acct
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Who is our direct contact at this bank?

First NameLast Name
Will you issue a purchase order for each purchase?*

YesNo
If tax-exempt, please list Certificate/Exemption
State of Exemption

Street Address

Street Address Line 2

CityState

Zip Code
Certificate Number
Reason for tax exemption
Has this business, applicant, or any individuals listed above ever declared bankruptcy or had a judgment or garnishment filed against it or the applicant?*

YesNo
If yes, when?

MonthDayYear
Date
Initials*
TERMS AND CONDITIONS
All dealings and purchases shall be subject to the following terms and White's standard terms and conditions of sales. White's reserves the right, in its sole discretion, to accept or reject orders and to continue or terminate the customer relationship at any time. Purchases made on account are due in full on the 10th of the month following the statement end date. Statements must be paid using cash, check, or ACH through our website. White's reserves the right to modify or change terms at its sole discretion. Customer's billing and account information are made available via email. Customer has the affirmative responsibility to provide Whites with an email address for billing purposes. Bills displayed via email are due and payable as set forth above whether or not separate bills are transmitted. In the event of Customer payment default, White's shall be entitled to collect from Customer all costs of collection, including attorneys' fees, and interest at the rate of 1.5% per month, both before and after judgment. Payments that identify a particular invoice or project will be applied to that particular invoice or project. Absent such identification, or in the event of payment default, White's reserves the right in its sole and absolute discretion (subject to applicable law) to apply payments to any unpaid account of Customer as determined by White's. In the event of error, discrepancy or defect in any items provided by White's, Customer's sole remedy shall be to require White's to correct the error, discrepancy or defect and White's shall have no liability for any other loss, damage or liability of Customer relating to such error, discrepancy or defect, including consequential damages, all of which are expressly waived.

The undersigned individual, who is either a principal of the applicant or a sole proprietor, understands and agrees that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, and hereby consents to and authorizes the use of the consumer credit report on the undersigned by White's Lumber & Supply Co. and any of its authorized employees, from time to time as may be needed, in the evaluation or collection process.
Signature*

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MUST BE SIGNED BY AN OWNER OR OFFICER
Date*

MonthDayYear
Date
Name/Title*
Driver License Number*
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PERSONAL GUARANTY
In consideration of White's Lumber & Supply Co., having sold, or agreeing to sell, building materials and supplies to Customer* the undersigned, individually and jointly and severally with customer, hereby unconditionally agrees to be responsible for and to pay for all purchases and the account when due, together with finance charges, attorney's fees and costs pursuant to the terms on the account application, regardless of whether the amounts due are for past, current or future purchases.This agreement and guaranty shall continue in full force and effect until revoked by the undersigned, and all amounts due have been paid in full, which revocation shall be effective only as to building materials and supplies sold to customer after written notice of revocation of this guaranty is received by White's Lumber & Supply Co., at 3225 N. Ponce De Leon Blvd St Augustine, FL32084.The undersigned understands and agrees that his individual credit history may be a necessary factor in the evaluation of this personal guaranty and in the evaluation of continued sales, and hereby consents to and authorizes the use of a consumer credit report on the undersigned, by White's Lumber & Supply Co, from time to time as may be needed, in the evaluation or collection process. Direct inquiries of employers and businesses where the undersigned guarantor maintains accounts may also be made.
First NameLast Name
Date*

MonthDayYear
Date
Last 4 of Social Security Number*
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Signature*

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Please attach a copy of your ID here.*
Should be Empty:

HOUSE CREDIT APPLICATION

Principal 1

Principal 2

Trade Reference 1

Trade Reference 2

Trade Reference 3

COMMERCIAL BANK INFORMATION & MISCELLANEOUS INFORMATION

TERMS AND CONDITIONS

MUST BE SIGNED BY AN OWNER OR OFFICER

PERSONAL GUARANTY