MEMBER

L. A. Fritter & Son, Inc.

PETROLEUM HANDLING EQUIPMENT

4908 CRESTON STREET, HYATTSVILLE, MD 20781

Phone: 301-773-7800    Fax: 301-772-3585

www.LAFRITTER.com

 

                                                                                                          DATE: _______________________

 

 

CREDIT APPLICATION AND OPEN ACCOUNT AGREEMENT

 

 

Company Name: _______________________________________________________________

Address: _____________________________________________________________________

       City: ______________________________________    State: _______    Zip: ___________

 

 

ORGANIZATION INFORMATION

 

(   ) Corporation      (   ) Sole Proprietorship      (   ) Partnership      (   ) Government Agency

 

Business Phone: (               ) ____________________      Fax: (               ) ____________________

Business Established:  _______ Month   _______ Year

 

 

PARENT COMPANY INFORMATION (If Applicable)                TAXABLE (  )       NON TAXABLE (  ) *

* A copy of the signed Exemption Certificate must be attached, otherwise tax must be charged.

 

 

Name: ____________________________________________________________

 

Address: __________________________________________________________

 

      City: _____________________________  State: _______  Zip:_____________

 

Are P.O. numbers required  ______ Yes   ______ No

 










Names of Owners, Partners or Officers

 

NAME

TITLE

RESIDENCE ADDRESS

HOME PHONE

________________

_____________

___________________________________

_______________

________________

_____________

___________________________________

_______________

________________

_____________

___________________________________

_______________

________________

_____________

___________________________________

_______________

REFERENCES / SUPPLIERS / VENDORS

LIST FOUR:

1. COMPANY NAME _______________________________________________________________
  CONTACT PERSON _________________________________  TITLE ______________________
  STREET __________________________________________ CITY________________________
  STATE _____  ZIP _________  PH (       ) _________________  FAX (       ) __________________

2. COMPANY NAME _______________________________________________________________
  CONTACT PERSON _________________________________  TITLE ______________________
  STREET __________________________________________ CITY________________________
  STATE _____  ZIP _________  PH (       ) _________________  FAX (       ) __________________

3. COMPANY NAME _______________________________________________________________
  CONTACT PERSON _________________________________  TITLE ______________________
  STREET __________________________________________ CITY________________________
  STATE _____  ZIP _________  PH (       ) _________________  FAX (       ) __________________

4. COMPANY NAME _______________________________________________________________
  CONTACT PERSON _________________________________  TITLE ______________________
  STREET __________________________________________ CITY________________________
  STATE _____  ZIP _________  PH (       ) _________________  FAX (       ) __________________




BANKING INFORMATION
NAME OF BANK _________________________________________  BRANCH _____________________
ADDRESS _____________________________________________  PH (        ) _____________________
CHECKING ( ) ACCT#  ______________________________  NAME OF REP _____________________
SAVINGS ( ) ACCT# ________________________________ NAME OF REP _____________________
LINE OF CREDIT ESTABLISHED $ _________________________
OUTSTANDING LOAN(S) (  )  ACCT# ___________________________  # _______________________
HOW IS LOAN(S) SECURED ___________________________________________________________
MONTHLY PAYMENTS $ ___________________________  BALANCE $ _____________________

TERMS AND CONDITIONS:
IT IS AGREED THAT THE BUYER WILL PAY ALL INVOICES IN ACCORDANCE WITH STATE TERMS
AND INTEREST WILL BE ASSESSED ON DELINQUENT INVOICES AT THE RATE OF 1.5% PER
MONTH (18% A.P.R.) TOGETHER WITH ANY COURT COSTS, ATTORNEY'S FEES AND COSTS OF
COLLECTION THE SELLER MAY INCUR IN ENFORCING THE TERMS OF THE AGREEMENT. IN THE
EVENT OF A DISPUTE OR DISAGREEMENT CONCERNING THIS AGREEMENT, THE SIGHT OF
RESOLUTION SHALL BE IN MARYLAND.
THE BUYER FURTHER GRANTS TO THE SELLER A SECURITY INTEREST IN ALL GOODS, PRODUCTS
OR ITEMS INCLUDING ALL INVENTORY (COLLATERAL) HEREAFTER PURCHASE, OR ACQUIRED
FROM L.A. FRITTER AND SON, INC. THE SECURITY INTEREST SO GRANTED IS INTENDED TO
SECURE PAYMENT OF THE UNPAID PURCHASED PRICE OF SAID COLLATERAL.
SIGNATURE (Corporate Officer) _______________________________  TITLE ___________________
DATE ________________________________________

THE UNDERSIGNED AGREE THAT IT SHALL NOT BE NECESSARY, AS A CONDITION TO ENFORCE
THIS GUARANTY, THAT SUIT BE FIRST INSTITUTED AGAINST THE COMPANY OR THAT ANY RIGHTS
OR REMEDIES AGAINST THE COMPANY BE FIRST EXHAUSTED. BEING UNDERSTOOD AND AGREED
THAT THE LIABILITY OF THE UNDERSIGNED HEREUNDER SHALL BE PRIMARY, DIRECT, AND IN ALL
RESPECTS UNCONDITIONAL.
__________________________________________       ______________________________________

WITNESS                                                                           GUARANTOR OF COMPANY
__________________________________________       ______________________________________

DATE                                                                                  DATE