APPLICATION FOR CREDIT

APPLICATION FOR CREDIT

Business Info
Account Name, DBA(if necessary)
ABC Licence #
Resale #
EIN #
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Name

First NameLast Name
Owner's Phone Number
Please enter a valid phone number. (000) 000-0000
Owner's Email
example@example.com
Buyer's Name

First NameLast Name
Buyer's Phone Number
Please enter a valid phone number. (000) 000-0000
Buyer's Email
example@example.com
DELIVERY DETAILS
Delivery Contact Name
Delivery Contact Phone
Please enter a valid phone number. (000) 000-0000
Preferred Days for Delivery

TuesdayWednesdayThursdayFriday
4 hour Delivery Window
Please provide delivery instructions:
ACCOUNTS PAYABLE INFORMATION
Name
Phone Number
Please enter a valid phone number.
Email (for statements and invoices)
example@example.com
Billing Address (if different from Shipping)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bank Reference
Bank
Account #
Trade Reference
Company Name
Contact Name and Phone #
I/We certify that the above information is true and correct, and that I/we will comply with terms in accordance with ABC law. I/We agree to the terms: Net 30 days PAYABLE DIRECTLY TO Rock Steady Spirits LLC. All accounts delinquent past 45 days will not receive additional shipments until paid in full, and are subject to a $50 late fee. In the event of the failure to pay all sums due and owing, you agree to pay interest at the rate of 10% per annum from the date of any unpaid invoice together with any attorney fees and costs incurred in the collection of any such sums due.

For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10% of the tax or $500, whichever is more.
Owner / Managing Partner
Full Name

First NameLast Name
Owner/Managing Partner Signature

Clear
Date

MonthDayYear
Date
I certify that I am authorized to sign and submit this application for and on behalf of the applicant. By signing this application, applicant agrees that all sales to applicant shall be subject to the standard terms and conditions of sale. I AM AUTHORIZED TO SIGN.
GENERAL RESALE CERTIFICATE

California Resale Certificate
I HEREBY CERTIFY:
1. I hold valid seller’s permit number
2. I am engaged in the business of selling the following type of tangible personal property
3. This certificate is for the purchase from
Vendor's Name
4. I will resell the item(s) listed in paragraph 5, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.
5. Description of property to be purchased for resale
6. I have read and understand the following:

For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.
NAME OF PURCHASER
SIGNATURE OF PURCHASER, PURCHASER’S EMPLOYEE OR AUTHORIZED REPRESENTATIVE

Clear
PRINTED NAME OF PERSON SIGNING
TITLE
ADDRESS OF PURCHASER
Phone Number
Please enter a valid phone number.
DATE

MonthDayYear
Date
Should be Empty:

APPLICATION FOR CREDIT

DELIVERY DETAILS

ACCOUNTS PAYABLE INFORMATION

Bank Reference

Trade Reference

Owner / Managing Partner

GENERAL RESALE CERTIFICATE

I HEREBY CERTIFY: