Business Credit Application Form

Business Account Application

(check all that apply)

Billing Address

City
State/Province
ZIP Code

Shipping Address

City
State/Province
ZIP Code
Fed. Tax ID/SS No.
Sales Tax No.
Years in Business
Type of Business
Will your company use POs?
Will your company purchase exempt fuel?
(Exemption Certificate Required)
Is your company tax exempt?
(Exemption Certificate Required)

BANK REFERENCE

CREDIT REFERENCES

(from whom purchases are made on a monthly basis)
(CREDITOR)
Phone
Fax
(CREDITOR)
Phone
Fax
(CREDITOR)
Phone
Fax

Authorization is hereby given to Sayle Oil Co., Inc./Sayle Propane to contact suppliers and references in regard to this application and to obtain consumer credit reports initially and periodically in accordance with the Fair Credit Reporting Act. All purchases made on account are to be paid in accordance with the terms of the account set by Sayle Oil Co., Inc./Sayle Propane. Accounts not paid within their terms may be subject to finance charges and penalties including but not limited to reasonable attorney's fees, court costs, and collection expenses. Credit/Payment terms are subject to change without notice. Tallahatchie County, Mississippi is stipulated by the parties to be the sole venue for bringing any action regarding this account, its creation or collection.

Authorization is hereby given to Sayle Oil Co., Inc./Sayle Propane to contact suppliers and references in regard to this application and to obtain consumer credit reports initially and periodically in accordance with the Fair Credit Reporting Act. All purchases made on account are to be paid in accordance with the terms of the account set by Sayle Oil Co., Inc./Sayle Propane. Accounts not paid within their terms may be subject to finance charges and penalties including but not limited to reasonable attorney's fees, court costs, and collection expenses. Credit/Payment terms are subject to change without notice. Tallahatchie County, Mississippi is stipulated by the parties to be the sole venue for bringing any action regarding this account, its creation or collection.
Signature of Applicant
Print Full Name
Title/Position
Date

PERSONAL GUARANTY

For good and valuable consideration the receipt and sufficiency of which is hereby acknowledged the undersigned, (hereinafter "Guarantor") unconditionally and personally guarantees any and all obligations due and to become due to Sayle Oil Company, Inc./Sayle Propane LLC (hereinafter "Creditor") or any subsidiary or affiliate. This is an open, unlimited and continuing guaranty ("Guaranty") and Guarantor agrees that any and all credit and other rights provided now and at any time in the future are done so by Creditor in material reliance on this Guaranty notwithstanding any other rights or remedies Creditor may have now or at any time in the future relating to the collection of such sum(s) by any other means or methods.
Signature
DOB
Social Security No.
Address
City
State
ZIP Code