Commercial Credit Application

Commercial Credit Application
Legal Business Name *
Business Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Delivery Directions
Nature of Business
Date Established

Month Day Year
Principal's Name

First Name Last Name
Principal's Title
Is Operation Trade Name Registered?

Yes No
Date of Incorporation

Month Day Year

Credit References
Current Fuel Supplier
Please include only businesses that you have an active line of credit with.
Business Name #1
Contact Name

First Name Last Name
Phone Number

Area Code Phone Number
Business Name #2
Contact Name

First Name Last Name
Phone Number

Area Code Phone Number
Business Name #3
Contact Name

First Name Last Name
Phone Number

Area Code Phone Number

Banking References
Bank #1
Branch Number
Phone Number

Area Code Phone Number
Personal Bank Manager

First Name Last Name
Bank #2
Branch Number
Phone Number

Area Code Phone Number
Personal Bank Manager

First Name Last Name

Principal/Owner
(Same as Account Guarantor on Page 2)
Name

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Birth Date

Month Day Year
Home Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
SIN #
Driver's License Number
Email
example@example.com
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CERTIFICATE: I (we) certify the above information to be accurate and complete and agree to pay all accounts NET 30 DAYS, unless otherwise specified.

I (we) consent to the obtaining of credit and/or personal information as may be required at any time in connection with the credit hereby applied for, or renewal or extension thereof and to the disclosure of any credit information to any credit reporting agency or to any person with whom I have or propose to have financial relations.
Date

Month Day Year
Signature

Clear

Personal Guarantee for Goods Supplied
TO: MACDONNELL FUELS LIMITED, (HEREIN CALLED ‘MACFUEL’)

IN CONSIDERATION OF MACFUEL SUPPLYING FUEL, DIESEL FUEL AND/OR PETROLEUM PRODUCTS FROM TIME TO TIME TO
Company Name *
(HEREIN CALLED THE DEBTOR)
OF
Address of Company *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
ON SUCH TERMS OF CREDIT AS MACFUEL SHALL THINK FIT.
I,
(HEREIN CALLED THE ‘GUARANTOR’) HERE BY GUARANTEE TO MACFUEL THE PAYMENT OF ALL MONIES WHICH ARE NOW OR WHICH SHALL AT ANY TIME HEREINAFTER BE DUE TO MFL FROM THE DEBTOR AND ALSO PAYMENT OF ALL NOTES OR ACCEPTANCES WHICH MAY AT ANY TIME BE GIVEN TO MACFUEL BY THE DEBTOR, UPON WHICH THE DEBTOR SHALL OR MAY BE LIABLE.

THIS GUARANTEE SHALL BE A CONTINUING GUARANTEE TO SECURE WHATEVER BALANCE IS NOW OR MAY HEREAFTER BE DUE BY THE DEBTOR TO MACFUEL IN RESPECT OF MONIES, NOTES AND ACCEPTANCE AS FORESAID.

MACFUEL SHALL HAVE THE RIGHT AT ANY TIME TO REFUSE FURTHER CREDIT TO THE DEBTOR, TO RELEASE ANY COLLATERAL OR OTHER SECURITIES, TO EXTEND THE TIME FOR PAYMENT TO IT OR ANY OTHER PERSON LIABLE UPON ANY COLLATERAL OR OTHER SECURITY WHICH MACFUEL MAY AT ANY TIME HOLD, OR TO COMPROMISE OR COMPOUND WITH THE DEBTOR WITHOUT NOTICE TO SAME, AND WITHOUT DISCHARGING OR AFFECTING THE GUARANTOR’S LIABILITY.

THE DEBTOR HEREBY GRANTS TO MACFUEL A SECURITY INTEREST BY WAY OF A PLEDGE OR ASSIGNMENT OF ALL BOOK DEBTS AND ACCOUNTS RECEIVABLE TO SECURE PAYMENT OF ALL DEBTS OWING TO MACFUEL BY THE DEBTOR, DIRECT AND INDIRECT, PRESENT AND FUTURE AND IRREVOCABLY DIRECTS AND AUTHORIZES PAYMENT OF ANY AND ALL DEBTS, PRESENT AND FUTURE, TO MACFUEL.

IN WITNESS HERE OF, ON THE
IN WITNESS HERE OF, ON THE

Day Month Year
SIGNED AND DELIVERED IN THE PRESENCE OF
GUARANTOR – PRINCIPAL/OWNER

First Name Last Name
COMPANY NAME
Signature

(I HAVE AUTHORITY TO BIND THE COMPANY) Clear
WITNESS NAME

First Name Last Name
Witness Signature

Clear
Should be Empty:

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Commercial Credit Application

Credit References

Banking References

Principal/Owner

Personal Guarantee for Goods Supplied