CREDIT APPLICATION FORM

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Fill in the form below:

Credit Application

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Name:(Required)
Address:(Required)
Type of Business: (Check all that apply)
Location of Lot:(Required)
Suppliers (need minimum of 2 where accounts have been open more than 6 months). NOTE: You are advised to contact credit references given to let them know it is OK to release information.
Is This a Construction Mortage:
Bank Checking Account Information:
Bank Savings Account Information:
CONDITIONS OF SALE - READ BEFORE SIGNING
THIS STATEMENT INCLUDES INFORMATION REQUIRED BY FEDERAL LAW

OUR POLICY:

Terms: 2% discount if payment received 10th of statement month, net 30. A 1-1/2% (18% ANNUAL PERCENTAGE RATE) assessed on all charges not paid within 60 days of statement month. ($1.50 minimum).
  1. 1. Mechanics lien rights will not be permitted to expire.
  2. 2. Payments received will be applied first to payment of service charges and the balance, if any, to the principal amount. The service charge will be based upon the last principal balance.
  3. 3. Purchaser grants National Lumber a security interest in all material purchased but unpaid for. Purchaser agrees if requested, to sign a UCC-1 to protect National's security interest. This is a lien which could result in repossession of the material if purchaser is in default of this contract.
  4. 4. If a corporation or LLC, this application is signed by the undersigned individually and on behalf of the corporation or LLC regardless of nomenclature and both shall be liable for the account regardless of how billed.
  5. 5. This information is represented as being correct and shall remain in effect at any time credit is extended.
  6. 6.We share credit information with others unless you prohibit it in writing.
  7. 7. This is a commercial transaction. For the consideration of National Lumber Inc. extending credit, purchaser waives all rights to notice and hearing on a prejudgment remedy as provided in chapter 903a of the Connecticut General Statutes as amended pursuant to 52-278a thru 52-278g of the Connecticut General Statutes.
(Sign Where Applicable)
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Personal Guarantee:In consideration of the granting of credit by National Lumber, the undersigned personally, primarily and unconditionally guarantees payment of all charges to this account, and agrees to all provisions stated above:
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Credit Application - General Information:

Permission is granted by the applicant and the undersigned to National Lumber Inc. to obtain credit information from all listed references, our bank and credit reporting agencies for credit review purposes only.

Applicant is advised to contact credit references to permit them to share credit information with National Lumber Inc.
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Printed Name:(Required)
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