1315 East Main Street / P.O. Box 706Magnolia, AR 71754-0706870-234-6060accounting@sshomecenter.com
Name of Business: Name of Business FID#: FID#-FID#Mailing Address: Street Address City State ZipPhysical Address, if different from mailing address: AddressWork Phone: Phone Number Mobile Phone: Phone Number
Principal Owner of Business:Name: Name Title: TitleIs Business: (please check one) Corporation(in the state of state abbreviation), LLC Other The owners (or stockholders) and officials are:
Accounts Payable contact informationName: Name Email: EmailPhone: Phone Number Title: TitleWould your business be interested in taking advantage of our ability to email every invoice to your A/P contact as any invoices are created at Point of Sale? Please Select Yes No Would your business like to have emailed statements? Please Select Yes No Would your business like to receive a paper statement through the United States Postal Service? Please Select Yes No
Name of Business Banking Institution: name of business banking institution Contact: contact Banking Institution Phone Number: phone number
Principal Suppliers / Trade References:
What monthly credit limit amount are you seeking/ $credit limit requestedWill you be using this account to purchase tax-exempt items for resale? Please Select Yes No If yes, please provide a copy of your documentation with this application for your business' tax exemption with the State of Arkansas. No non-tax purchases may be made through S&S Home Center without this documentation on file. (Please note: 501©3 Non-profits are not credentials for paying for merchandise minus any sales tax.)Will your business require PO's for invoices? Please Select Yes No
Do you have ACE Rewards for your business? Please Select Yes No What is the phone number associated with your ACE Rewards for your business or business owner's phone number? Phone Number
Persons authorized to charge to this account:1.12.23.34.45.56.67.78.89.9
Our Terms: All account balances are due by the 10th day of the month following the date of your statement. A FINANCE CHARGE computed by a "periodic rate" up to the legal limit, currently 1.4166% per month (equivalent to an ANNUAL PERCENTAGE RATE of 17%) will be charged on any portion of the account balance appearing onyour monthly statement that is not paid or otherwise credited to your account on or before the due date. Interest rates may fluctuate. In addition, a LATE CHARGE of $5.00 will be applied to past due balance at the time of the statement. Payments with credit or debit cards will be assessed a TRANSACTION FEE of 2%. All information in this application is true and complete to the best of my knowledge. I authorize S&S Home Center to investigate any and all information pertaining to my credit history with previous and current creditors not limited to those listed within the application. This authorization shall remain on file and shall serve as an ongoing authorization for S&S Home Center to procure credit reports at any time during the relationship. I have read and understand the terms of this agreement:Signature of Officer or Authorized Representative:Signature Title Date
PERSONAL GUARANTY OF COMMERCIAL CREDIT ACCOUNTFor value received, the undersigned "Guarantor" hereby unconditionally guarantees and promises to pay to S&S HOME CENTER or its assigns any indebtedness incurred on or after the date of this Guaranty by Debtor (the "Debtor") by reason of the purchase from S&S HOME CENTER of any merchandise.Guarantor agrees that this is a continuing guaranty. This Guaranty shall cover all future indebtedness of the Debtor identified above as contemplated by this agreement and/or any commercial credit applications completed by the Debtor for the extension of credit by S&S HOME CENTER, including indebtedness arising under successive transactions that either continue the liability of the Debtor or, from time to time, renew it after it has been satisfied.Guarantor waives notice of acceptance of this Guaranty and waives diligence on the part of S&S HOME CENTER in collection of the indebtedness. S&S HOME CENTER shall have the privilege of granting such renewals and extensions as it may deem proper. Guarantor expressly waives notice of nonpayment, protest, and notice of protest with respect to indebtedness covered by this Guaranty. Guarantor also agrees that it shall not be necessary for S&S HOME CENTER to enforce payment by Debtor of the indebtedness, to first institute suit, or to pursue to exhaust remedies against the Debtor or against any other security that Debtor may have.Dated this day day of month, 20 last two digits of year .Signature: SignaturePrinted Name: Printed NameAddress: Street AddressCity: City State: State Zip: ZipDate of Birth: DOB SSN: SSN
CREDIT AUTHORIZATION FORMFirst Name:First Name Middle Initial:Middle Initial Last Name:Last NameAddress:AddressCity: City State: State Zip Code:Zip CodeDate of Birth: DOB SSN#:123-45-6789Phone#: Phone Number Email: Email You understand that by signing below you are providing "written instructions" to S&S Home Center under the Fair Credit Reporting Act, authorizing S&S Home Center to obtain information from your personal credit profile or other information from Equifax and/or TransUnion and/or Experian. You authorize S&S Home Center to obtain such information solely to conduct a pre-qualification for credit or to reverify the score should you request a credit increase in the future.Date: DatePrint Name: Print NameSignature: Signature