ROCKMAN QUARRIES CREDIT APPLICATION FORM

CREDIT APPLICATION ACCOUNT
SECTION A ALL APPLICANTS TO COMPLETE
DATE:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
ABN:
CUSTOMER NAME (In Full) ("Customer"):
BUSINESS STRUCTURE:
Does the Customer act as trustee of any trust?
If yes, please provide the trust's ABN (if any):
NAME OF ACCOUNTS PAYABLE CONTACT:
EMAIL ADDRESS:
example@example.com
MOBILE PH:
Format: (000) 000-0000.
TYPE OF BUSINESS:
OFFICE ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
POSTAL ADDRESS:

Is same as above leave blank

Street Address Line 2

CityState / Province

Postal / Zip Code
OFFICE PHONE:
Format: (000) 000-0000.
FAX:
CREDIT LIMIT REQUIRED: $:
YR'S ESTABLISHED:
NO. OF EMPLOYEES:

BANKING DETAILS

Rows	BANK NAME	BRANCH	BSB	ACCOUNT NUMBER
1

TRADE REFERENCES

Rows	SUPPLIER NAME	PHONE	FAX	MONTHLY PURCHASES $
1.
2.
3.
4.

SECTION B COMPANIES TO COMPLETE
COMPANY NAME:
ACN:
TRADING NAME:
CONTACT:
MOBILE PH:
Format: (000) 000-0000.
EMAIL ADDRESS:
example@example.com
REGISTERED OFFICE ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE ATTACH A COPY OF DIRECTORS DRIVERS LICENCE

FRONT & BACK
Cancelof

SECTION C SOLE TRADER TO COMPLETE
Name

First NameMiddle InitialLast Name
ABN:
PHONE:
Format: (000) 000-0000.
EMAIL:
example@example.com
MOBILE PHONE:
Format: (000) 000-0000.
FULL ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE ATTACH A COPY OF YOUR DRIVERS LICENCE

FRONT & BACK
Cancelof

SECTION D PARTNERSHIP TO COMPLETE
PARTNERSHIP NAME:
ABN:
FULL ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARTNER 1
FULL NAME:

First NameLast Name
DOB:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
RESIDENTIAL ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMAIL ADDRESS:
example@example.com
MOBILE PH:
Format: (000) 000-0000.
PHONE:
Format: (000) 000-0000.
DRIVERS LICENCE:
If a limited liability Partnership, please tick if:
PARTNER 2
FULL NAME:

First NameLast Name
DOB:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
RESIDENTIAL ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMAIL ADDRESS:
example@example.com
MOBILE PH:
Format: (000) 000-0000.
PHONE:
Format: (000) 000-0000.
DRIVERS LICENCE:
If a limited liability Partnership, please tick if:
If more Partners, please attach a document listing the above details for each Partner.

SECTION E TRUSTS TO COMPLETE
TRUSTEE NAME:
DOES THE APPLICANT TRADE AS A TRADING TRUST:
TYPE OF TRUST:
NAME OF TRUST:
ABN OF TRUST:

CONDITION OF CREDIT FACILITY
The lodgement of this Application for a credit facility with Rockman Quarries Pty Ltd ("Rockman") confirms the Customer agrees to, and accepts all, conditions and declares that:
1. It has read and understood the Standard Terms and Conditions ("Terms") which form part of its Account Application ("this Application").
2. By signing this Application the Customer agrees to be bound by the Terms in the form attached to this Application (or which have been provided to the Customer and each signatory and of which receipt is acknowledged without the need for further execution).
3. The Customer agrees that acceptance of the Terms comprise an agreement which governs all supplies of goods or services from Rockman to the Customer. No terms and conditions submitted by the Customer on any order or other form shall have effect unless Rockman specifically agrees in writing.
4. The Customer and each signatory consent to the matters contained in the Terms concerning credit reporting.
5. The Customer authorises Rockman to:
(a) Obtain credit reports from credit reporting agencies or other credit providers for the purpose of assessing this Application.
(b) Obtain information from any other credit providers from time to time for the purpose of reviewing and assessing commercial credit worthiness and to assist Rockman in evaluating any instance of an overdue account.
(c) Disdose to or discuss with any credit providers or any credit reporting agencies, any prospective guarantor and any person or body agreeing or considering whether to agree to be liable for any credit to be made available to the Customer, any information maintained or in our possession relating to this application and the administration of any subsequent credit facility.
6. The Customer and each signatory acknowledge that this Agreement between the Customer and Rockman may be changed from time to time by Rockman in the manner provided for in it.
7. The Customer and each signatory acknowledge and understand that if this Application is approved, the account facility may be cancelled at any time without prior notice to any of them.
8. The account facility will be used wholly or predominantly for business purposes, and the Customer and each signatory warrant that each signatory is authorised to sign this application in any relevant capacity.
9. Trading terms are 30 days from invoice date. In the event of a credit facility being established it is essential that each respective invoice is paid in full and in accordance to the credit terms stated on the invoice. Failure to pay invoices by the due date may incur an interest charge of 1.5% per month or part thereof of the total overdue amount.
If at any time monies are overdue and owing upon any invoice then outstanding, the whole of the amount of all invoices then outstanding shall become immediately due and payable.
PLEASE SIGN BELOW
SIGNED AS READ BY CUSTOMER AND BY ITS DULY AUTHORISED REPRESENTATIVES WHO WARRANT THAT THEY ARE AUTHORISED TO SIGN
NAME IN BLOCK LETTERS
DATE:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
SIGNATURE (DULY AUTHORISED) POSITION:
NAME IN BLOCK LETTERS
DATE:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
SIGNATURE (DULY AUTHORISED) POSITION:

GUARANTEE AND INDEMNITY
Each Director/Proprietor of the Customer must sign this document. Please insert Full names and residential addresses of the guarantors. Guarantors should seek legal advice on this Agreement. If there are more than three Directors/Proprietors, please attach additional details in this form.
How Many Directors?
I, [FULL NAME] OF POSTCODE

Write Full Name

Street Address Line 2

CityState / Province

Enter Post Code
I, [FULL NAME] OF POSTCODE

Write Full Name

Street Address Line 2

CityState / Province

Enter Post Code
I, [FULL NAME] OF POSTCODE

Write Full Name

Street Address Line 2

CityState / Province

Enter Post Code
Hereinafter called (Guarantor) which expression includes each Guarantor separately as well as any two or more of them collectively, and includes also any Guarantor's personal representative(s), in consideration of Rockman agreeing to supply or continuing to supply to the Customer equipment, hereby agree with Rockman as follows:
1. The Guarantors hereby jointly and severally guarantee the due payment to Rockman of all money and performance of all obligations now and/or in the future owing by the Customer to Rockman including for all goods and or services that Rockman may from time to time supply or have already supplied to Customer. As a separate covenant, the Guarantors jointly and severally indemnify Rockman for all loss in respect of non-payment by the Customer of any money payable to Rockman and non performance of any obligation owed to Rockman by the Customer.
2. This guarantee and indemnity shall be a continuing guarantee and indemnity for all debts and obligations whatsoever and whensoever incurred by the Customer to Rockman. This guarantee shall terminate if the Guarantors give Rockman not less than
30 days written notice of their desire to terminate this guarantee and if at the expiration of such period of notice all liabilities and obligations of the Customer to Rockman have been discharged.
3. As between Rockman and the Guarantors, this guarantee shall be a principal obligation so that the obligations of the Guarantors are entirely independent of the obligations of the Customer to Rockman. The liability of the Guarantors under this guarantee and indemnity is absolute and unconditional and shall not be discharged or affected by anything that may have that effect but for this clause including but not limited to time or indulgence given to the Customer, variation or release of the Customer's obligations, taking or failure to take, perfect or enforce security from the Customer or anyone else.
4. The Guarantors must not exercise any right of subrogation or make any other claim they may have against the Customer until Rockman has received the full amount owing by the Customer.
5. To secure the Guarantor's obligations and actual, potential and future liability to Rockman pursuant to this Agreement (Secured Obligations), the Guarantors (and each of them individually) hereby charge in favour of Rockman all of their estate or interest in any freehold or leasehold land wheresoever situate which the Guarantors now have or may hereafter acquire. The Guarantors hereby acknowledge that Rockman shall have caveatable interest in such land and agree to provide to Rockman a signed real property mortgage in registrable form acceptable to Rockman securing the Secured Obligations.
6. Notices to be served on the Guarantors concerning any matter relating to this guarantee shall be sufficiently served if posted to the Guarantors by registered mail at their aforesaid personal addresses.
7. This Agreement shall be governed by the law of New South Wales.
SIGNED BY THE GUARANTOR
DATED THIS
Please type the day
DAY OF
Please type the Month
20
Please type the year
SIGNATURE OF GUARANTOR
FULL NAME OF WITNESS
In the presence of:
SIGNATURE OF GUARANTOR
FULL NAME OF WITNESS
In the presence of:
SIGNATURE OF GUARANTOR
FULL NAME OF WITNESS
In the presence of:

CREDIT ACCOUNT CUSTOMERS - PAYMENT FLOW
15-60 Days: Accounts team will make phone calls and send out emails weekly requesting payment for the outstanding account
61-90 Days: An official Creditor Watch 'Reminder' letter will be emailed out.
91+ Days: An official Creditor Watch 'Final Letter' will be emailed out.
7 days after Final Letter: An official Creditor Watch 'Letter of Demand' will be emailed out.
7 days after Letter of Demand: Account will be forwarded to debt collection agency incurring additional Solicitor fees and a default against your name in Creditor Watch.
ACCOUNT INACTIVATED - Can no longer trade with Rockman Quarries
All payment claims are made under the Building and Construction Industry Security of Payments Act 1999.
Should be Empty:

CREDIT APPLICATION ACCOUNT

SECTION A ALL APPLICANTS TO COMPLETE

SECTION B COMPANIES TO COMPLETE

SECTION C SOLE TRADER TO COMPLETE

SECTION D PARTNERSHIP TO COMPLETE

PARTNER 1

PARTNER 2

SECTION E TRUSTS TO COMPLETE

CONDITION OF CREDIT FACILITY

PLEASE SIGN BELOW

GUARANTEE AND INDEMNITY

SIGNED BY THE GUARANTOR

CREDIT ACCOUNT CUSTOMERS - PAYMENT FLOW