Credit Application

CREDIT APPLICATION ACKNOWLEDGEMENT

This document serves as a Business/Individual Credit Application for use by Best Equipment Co., Inc. to assess suitable credit terms for the business (or individual). By filling out this application, please be aware that Best Equipment Co., Inc. retains the right to acquire and assess the credit report of the business (or individual) and may request additional information from the provided Trade References. Additional financial information (such as financial statements and/or tax returns) may be requested. *

Acknowledged

APPLICANT INFORMATION
(either business or individual)

Type of Business (please check one)

*If applying as an LLC, a copy of the Operating Agreement & Articles of Organization is required with this application, or Partnership Agreement if applying as a Partnership, or Trust Agreement if applying as a Trust *

Operating Agreement & Articles of Organization *

Partnership Agreement *

Trust Agreement *

Organizational Legal Name (do not abbreviate): *

Does Business As (dba) Name:

Federal Tax ID #: *

State *

Sales Tax Exemption Number (if applicable)

Please upload your Exemption Certificate here

Business Phone #: *

Mobile Phone #:

Accounts Payable Contact Name *

Accounts Payable Email Address *

Physical Address *

City *

State *

Zip Code *

County *

Mailing Address (if different)

City

State

Zip Code

County

REQUESTED PAYMENT TERMS AND PREFERRED CREDIT LIMIT

Kindly furnish us with the payment terms and desired credit limit you are requesting. Please be aware that these are merely requests and do not guarantee how your account will be configured upon approval.

Requested Payment Terms: *

Preferred Credit Limit *

PRIMARY OWNER INFORMATION REQUIRED FOR PARTNERSHIP, LLC, AND CORPORATIONS

First Name *

Middle Name *

Last Name *

Physical Address *

City *

State *

Zip Code *

Phone Number *

Date of Birth *

TRADE REFERENCES

Please do not include Napa, O'Reilly, etc. or banks as a trade reference as these businesses do not provide credit references or may not return completed form in a timely manner which can delay the process.

We will send reference forms to all three Trade References. All three references must be returned to us prior to us evaluating terms for your company.

Thank you!

REFERENCE 1

Reference Name: *

City *

State *

Contact Name *

Phone Number *

Email *

REFERENCE 2

Reference Name: *

City *

State *

Contact *

Phone Number *

Email *

REFERENCE 3

Reference Name: *

City *

State *

Contact *

Phone Number *

Email *

You understand that this application will be used for the purposes of establishing a credit account with Best Equipment Company. You agree that Best Equipment Company may rely on the information in this credit appliaction to establish that account. You agree to the terms of the Best Equipment Company credit agreement including a 1.5% service charge on all amounts over 30 days. You also agree to pay all sums due and to become due including, but not limited to, collection costs and attorney's fee. Best Equipment Company also has the right to obtain (or review) the applicant's credit report.

Any misrepresentation in this application will be considered evidence or fraud, since this information is the basis for extending credit. As a requirement to grant credit, the undersigned warrants that the information is true and correct. You are authorized to investigate the credit reference and principals listed.

In consideration for the extension of credit, said business promises to pay for all purchases within the terms agreed (e.g NET 30 DAYS) and agrees to pay a service charge per month 1-1/2% per month (18% annual percentage rate) on all past due balances. In the event any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees, whether or not litigation has commened, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.

Name of Business *

Full Name *

Title *

Signature *

clear

Credit Application

CREDIT APPLICATION ACKNOWLEDGEMENT

APPLICANT INFORMATION (either business or individual)

REQUESTED PAYMENT TERMS AND PREFERRED CREDIT LIMIT

PRIMARY OWNER INFORMATION REQUIRED FOR PARTNERSHIP, LLC, AND CORPORATIONS

TRADE REFERENCES

APPLICANT INFORMATION
(either business or individual)