CREDIT APPLICATION ** State tax resale form or certificate must accompany this application **
COMPLETE LEGAL NAME OF BUSINESS : ________________________________________________________________________________ BILLING ADDRESS : _______________________________________ CITY : _______________________ STATE : _______ ZIP :____________ SHIPPING ADDRESS :______________________________________ CITY : _______________________ STATE : _______ ZIP :____________ BUSINESS PHONE : ________________________ FAX : ________________________ EMAIL : _______________________________________ YEARS UNDER PRESENT MGMT : __________
YEARS AT PRESENT LOCATION : __________ OWNER OF COMPANY : ___________________________________ PRESIDENT OF COMPANY : _____________________________________ AP CONTACT : _________________________________________ PO CONTACT : ________________________________________________ PHONE : ______________________ FAX : _____________________ PHONE : ________________________ FAX : ________________________ EMAIL :__________________________________________________ EMAIL :_______________________________________________________ ARE PURCHASE ORDERS REQUIRED : _______________________ FEDERAL EMPLOYEE ID #: _____________________________________ CREDIT LIMIT REQUESTED : ________________________________ ESTIMATED ANNUAL SALES : ___________________________
TYPE OF BUSINESS :
Residential Hardware Dealer |
Commerical Hardware Dealer |
Decorative Showroom |
Locksmith |
Retail Hardware Store |
System Integrator |
Cabinet Hardware Dealer |
Glass Dealer |
Internet / Ecommerce Dealer |
Government Supplier |
MRO Distributor |
Exporter |
TYPE OF OWNERSHIP : CORPORATION _________ PARTNERSHIP ________ SOLE PROPRIETORSHIP ________ LLC _________ NAME OTHER BUSINESSES AFFILIATED WITH : __________________________________________________________________________ RECEIVE INVOICES VIA : US MAIL _________ EMAIL _______________________________________ FAX ____________________________
BANK NAME : __________________________________________ PHONE NUMBER : ______________________ FAX NUMBER : _________________________
COMMERCIAL BANK REFERENCE
ACCOUNT NUMBER : ___________________________________________ CITY : ________________________ STATE : __________ ZIP :_____________ CONTACT PERSON : ___________________________________________________
COMMERCIAL TRADE REFERENCES
Trade references who have extended the highest amount of credit in the last 12 months TRADE REFERENCE ACCOUNT # PHONE # EMAIL ADDRESS FAX #
1 . ________________________________________________________________________________________________________________________ 2 . ________________________________________________________________________________________________________________________ 3 . ________________________________________________________________________________________________________________________ 4 . ________________________________________________________________________________________________________________________
STATEMENT OF TERMS Applicant authorizes Top Notch Distributors , Inc . to obtain credit reports to be used in connection with this application and to obtain further credit information from any persons or firm set forth in this application and from any other source , including credit profiles on individuals responsible for payment . Applicant further authorizes any bank or commercial business with whom the applicant is doing , or has done any type of business , to give any and all necessary information to Top Notch Distributors , Inc . which will assist in the credit inquiry . PERSONAL GUARANTEE In consideration of credit being extended by Top Notch Distributors , Inc for merchandise to be purchased whether an individual or individuals , a proprietorship , a partnership , a corporation or other entity , the undersigned guarantor ( s ) hereby contract and guarantee to Top Notch Distributors , Inc the faithful payment , when due , of all accounts said applicate for purchases made . Payment shall be personally guaranteed irrespective of status or changes in existing business of which the undersigned is a principal ( owner , partner or officer ). Applicant agrees that in the event of default in any payment , to pay all costs of collections , including but limited to , attorney ’ s fees , court cost , and collection agency fees . Applicant certifies all information furnished is true and accurate , and will be relied upon in the granting of credit .
AUTHORIZED SIGNATURE :_______________________________________ TITLE :__________________________________ PRINT :___________________________________________________________ DATE :__________________________________
** AUTHORIZED SIGNATURE IS REQUIRED FOR APPROVAL OF APPLICATION **