Commercial Credit Application, Hickory, NC | Oil Products, Lubricants & Gasoline

Applicant Information
Date*
MM slash DD slash YYYY
Legal Business Name*
Type of Entity*
- Corporation
- Partnership
- LLC
- Proprietorship
- Limited Partnership
Federal Tax ID #*
State of Registration*
Credit Amount Requested ($)*
Year of Incorporation*
Additional Trade/DBA Name (if any)
Parent Company Name (if any)
Physical Address*
City*
State*
Zip Code*
Mailing Address (if different than above)
City
State
Zip Code
Type of Business*
Email*
Phone*
Fax

Contact Information
Name*
Title*
Business Phone*
Email*
Social Security No.*
*
- Owner
- Partner
- Officer
Home Address*
Cell Phone*
Name
Title
Business Phone
Email
Social Security No.
- Owner
- Partner
- Officer
Home Address
Cell Phone
Purchasing Contact*
Phone*
Email*
Accounts Payable Contact*
Phone*
Email*

Trade References
Contact Name*
Email*
Company Name*
Phone
Address
Contact Name
Email
Company Name
Phone
Address

Financial References
Bank Name*
Account #*
Contact Name*
Phone*
Email*
Address
Are you currently in a bankruptcy proceeding, or have you filed a voluntary bankruptcy or had an involuntary insolvency proceeding filed against you within the last ten years?*
If yes, explain
Are you currently a party to any lawsuit, or are there any outstanding judgments against you?*
If yes, explain

TERMS AND CONDITIONS
Applicant agrees that all payments shall be made within terms and all past due invoices will bear interest on the unpaid balance at the rate of 1½ % per month (or the maximum allowed by law, whichever is less). If this account is placed for collection, applicant further agrees to pay all collection costs incurred by Bumgarner Oil Co., Inc., including attorney’s fees, court costs, and any contingency for a collection agent. Applicant agrees that the validity and interpretation of this agreement will be governed by the laws of the State of North Carolina. Applicant further agrees that in the event legal action becomes necessary, jurisdiction and venue shall, at Bumgarner Oil Co., Inc.’s option, remain in North Carolina.

Applicant further agrees that any line of credit desired or approved is not a limitation of liability, and applicant expressly agrees that applicant will be responsible for valid charges in excess of a line of credit either desired or approved. Furthermore, applicant agrees that Bumgarner Oil Co., Inc. has the right to refuse future extensions of credit to applicant if applicant fails to comply with any terms or conditions applicable to any sale to applicant.

Applicant consents to the verification by Bumgarner Oil Co., Inc. of the information supplied in this application and to the exchange of credit information about the applicant now and in the future. Applicant agrees to allow Bumgarner Oil Co., Inc. to run a consumer credit report from one of the national credit reporting agencies in order to make a determination of extending credit terms. Applicant hereby knowingly consents to the use of such credit report consistent with the Federal Fair Credit Reporting Act.

Applicant agrees that all of the information supplied herein is correct to the best of their knowledge, and that the applicant understands that all goods or services purchased from Bumgarner Oil Co., Inc. are subject to the terms and conditions contained in this application and agreement and all other terms and conditions contained on any of Bumgarner Oil Co., Inc.’s invoices. Applicant further agrees that all purchases made on this account by its employees or by any other person with actual or apparent authority to make a purchase on this account shall be governed by these terms.
Owner/Officer Signature*
Date*
MM slash DD slash YYYY
Print Name of Owner/Officer*
Title*
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Commercial Credit Application and Open Account Agreement, Hickory, NC

Applicant Information

Contact Information

Trade References

Financial References

TERMS AND CONDITIONS

Bumgarner Oil

Hours of Operation

Hours of Operation

Counties:	Major cities:
Catawba	Hickory
Alexander	Newton
Caldwell	Conover
Burke	Taylorsville
Lincoln	Lenoir
Iredell	Morganton
Watauga	Mooresville
	Statesville
	Boone