Business Credit Application

Business Credit Application
Business Name:*
Amount of Credit Requested:*
Billing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Physical Address:

Street Address (or mark "Same" as Billing)

Street Address Line 2

CityState

Zip Code
Business Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Number of Years in Business:*
Type of Business:*
Corporation, Partnership or Proprietorship
Owner/President:*
Social Security No:*
Owner/President Home Address:

Street Address (or mark "Same" as Billing)

Street Address Line 2

CityState

Zip Code
Owner/President Date of Birth:*

MonthDayYear
Date
Owner/President Phone Number:*
Please enter a valid phone number.
Vice President:*
VP Social Security No:*
VP Home Address:

Street Address (or mark "Same" as Billing)

Street Address Line 2

CityState

Zip Code
VP Date of Birth:*

MonthDayYear
Date
VP Phone Number:*
Please enter a valid phone number.
Secretary:*
Treasurer:*
A/P Supervisor:*
Federal Tax ID No:*
Sales Tax No:*
State Where Issued:*
PO Required:*
YES or NO
Account to Have Separate Jobs?:*
YES or NO
Authorized to Charge:
Banking Info:*
Construction Loan:*
Yes or No
Construction Loan:*
Bank Loan:*
Bank Loan:*
Yes or No
Name of Construction Loan Institution:*
Loan Officer Name:*
Loan Officer's Telephone:*
Please enter a valid phone number.
Loan Officer's Email:*
Note** We do not mail hard copies of invoices or statements. All invoice communications are via email.
WRITTEN AUTHORIZATION TO RELEASE INFORMATION
For the purpose of obtaining credit, I hereby authorize the release of any information to Garner Building Supply, Inc

Date*
Signature of Guarantor*

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Title*
PERSONAL GUARANTEE
In consideration of credit being extended by Garner Building Supply, Inc. to the above named applicant for merchandise to be purchased whether the applicant be an individual, individuals, a proprietorship, a partnership, a corporation or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee to Garner Building Supply, Inc. the faithful payment, when due, of all accounts of said applicant for purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to the applicant, presentment, and demand for payment on applicant, protest and notice to the undersigned guarantor or guarantors of dishonor or default by applicant or with respect to any security held by Garner Building Supply, Inc., ex- tension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwise be entitled and demand for payment under this guarantee. Any revocation of this guarantee shall be in writing and delivered to Garner Building Supply, Inc.

Date*
Signature of Guarantor*

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Print Name*
Title*
TERMS OF CREDIT AGREEMENT
Applicant, in consideration for the extension of credit to Applicant and as an inducement to Garner Building Supply, Inc. to grant such credit, rep- resents and warrants that all information provided is true and correct, and that no unfavorable information has been omitted from this Application. Applicant also represents and warrants that Applicant is solvent and has no pending lawsuits and/or unsatisﬁed judgments. Applicant authorizes the release of any information to Garner Building Supply, Inc. and speciﬁcally authorizes Garner Building Supply, Inc. to investigate any claims made therein or herein. By signing this Agreement, Applicant is indicating the desire to apply for credit from Garner Building Supply, Inc. and agrees to abide by the terms and conditions of this Agreement. Applicant agrees that the extension of credit hereunder is conditioned on the approval of Garner Building Supply, Inc., who reserves the right to increase, modify. or terminate the credit limit in its sole discretion. Applicant understands the account balance is due and payable in full by the 10th of the following month and that any outstanding balance is subject to ﬁnance charges interest and will accrue interest at the maximum rate allowed by law. Garner Building Supply, Inc. is hereby speciﬁcally authorized to report to proper persons and/or bureaus on the performance of this Agreement in exchange for the extension of credit. Applicant waives all notices of demand, protest, extensions, and default and hereby agrees, without demand, to immediately reimburse Garner Building Supply, Inc. for all costs, attorneys’ fees, and other expenses incurred in the enforcement of this Agreement and/or the collection of any indebtedness of Applicant owed to Garner Building Supply, Inc. This Agreement is governed by the laws of the state of Arkansas.
Signature:

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Print Name:*
Title:*
Date:*

MonthDayYear
Date
Trade Reference:
Trade Reference:
Trade Reference:
The above information is herewith submitted for the purpose of opening an account and I do hereby certify this information is to be true. I also agree to comply with the above said provisions.
Signature*

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Print Name*
Date*

MonthDayYear
Date
Print Name*
Should be Empty:

Business Credit Application

Note** We do not mail hard copies of invoices or statements. All invoice communications are via email.

WRITTEN AUTHORIZATION TO RELEASE INFORMATION

PERSONAL GUARANTEE

TERMS OF CREDIT AGREEMENT

The above information is herewith submitted for the purpose of opening an account and I do hereby certify this information is to be true. I also agree to comply with the above said provisions.