Meyer Plumbing Supply - Credit Application

575 Independent Road, Oakland, California 94621

(510) 832-3324
Fax: (510) 686-2680
meyer@meyersupply.com

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© 2007 MEYER PLUMBING SUPPLY, Inc.

       DOWNLOAD
       CREDIT APP
   (MS Excel)

ON-LINE CREDIT APPLICATION
          or
       DOWNLOAD
         CREDIT APP
   (MS Excel)

CONTACT INFORMATION

FIRM NAME:
OFFICER OR PROPRIETOR NAME:
STREET ADDRESS:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
TYPE OF BUSINESS:
LICENSE NUMBER:
PROPRIETORSHIP:
PARTNERSHIP:
INCORPORATED:
DATE ESTABLISHED:
STATE OF INCORPORATION:

BANK ACCOUNTS 1

BANK NAME:
BRANCH ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
ACCOUNT NUMBER:
ACCOUNT TYPE:
BANK ACCOUNTS 2

BANK NAME:
BRANCH ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
ACCOUNT NUMBER:
ACCOUNT TYPE:

REAL ESTATE OWNED HOME

STREET ADDRESS:
CITY:
STATE:
ZIP:
VALUE:
BALANCE:
TITLE IN NAME OF:
MORTGAGE CO.

REAL ESTATE OWNED BUSINESS

STREET ADDRESS:
CITY:
STATE:
ZIP:
VALUE:
BALANCE:
TITLE IN NAME OF:
MORTGAGE CO.

PRINCIPAL OWNER OR OFFICER

NAME:
SOCIAL SECURITY #:
TITLE::
HOME ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
PRINCIPAL OWNER (S) OR OFFICER (S) CONTINUED

NAME:
SOCIAL SECURITY #:
TITLE::
HOME ADDRESS:
CITY:
STATE:
ZIP:
PHONE:

TRADE REFERENCES

COMPANY NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTACT NAME:
TRADE REFERENCES (CONTINUED)

COMPANY NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTACT NAME:
TRADE REFERENCES (CONTINUED)

COMPANY NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTACT NAME:
TRADE REFERENCES (CONTINUED)

COMPANY NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTACT NAME:

OUR TERMS: 2% 10TH PROX NET 30

I AGREE TO PAY MEYER PLUMBING SUPPLY 1.5% PER MONTH (18% PER ANNUM) INTEREST ON ANY BALANCE REMAINING UNPAID AFTER THIRTY DAYS.

I AGREE THAT IN THE EVENT THAT IT IS NECESSARY TO INSTITUTE LITIGATION AND, THE PREVAILING PARTY SHALL BE ENTITLED TO ATTORNEY'S FEES AND COSTS OF SUIT.

I HEREBY CERTIFY THAT I AM DULY AUTHORIZED TO LEGALLY BIND THIS CORPORATION/PARTNERSHIP.

DATE:
FIRM NAME:
BY:
TITLE:

IN CONSIDERATION OF THE EXTENSION OF CREDIT BY MEYER PLUMBING SUPPLY, 311 SECOND STREET, OAKLAND, CALIFORNIA, 94607,

I,	(YOUR NAME HERE PLEASE)
OF THE CITY OF,	(CITY NAME HERE PLEASE)
COUNTY OF,	(COUNTY NAME HERE PLEASE)

STATE OF CALIFORNIA, make this guarantee subject to the following limitations and conditions. This is a continuing guarantee, and until revoked shall cover future indebtedness of (YOUR NAME HERE PLEASE) contemplated hereunder, including indebtedness arising under successive transactions that shall either continue the indebtedness, or from time to time review it after it has been satisfied.

DATE:
AUTHORIZED SIGNATURE:	Note: by clicking the submit button below you are agreeing to this contract.

RESALE CERTIFICATE INFORMATION

I herby certify : that I hold valid seller's permit no: (permit number here please)
issued pursuant to the sale and use tax law that I am engaged in the
business of selling : (product description here please). That the tangible persons property described herein what I shall purchase from : Meyer Plumbing Supply, will be resold by me in the form of tangible personal property ; provided, however, that in the event if any such property is used for any purpose other than retention, demonstration, or display while it is for sale in regular course of business, it is understood that I am required by the state and use tax law to report and pay tax, measured by the purchase price if such property. Description of property to be purchased :

(description here please)

DATE:
AUTHORIZED SIGNATURE:	Note: by clicking the submit button below you are agreeing to this contract.

PLEASE PRINT THIS FORM OUT, SIGN AND FAX TO (510) 686-2680

YOU MAY ALSO DOWNLOAD THE MS WORD DOCUMENT CREDIT APP.
       DOWNLOAD
         CREDIT APP
   (MS Excel)

OR CLICK SUBMIT Note: by clicking the submit button below you are agreeing to this contract.

AND UPON APPROVAL WE WILL HAVE THIS FORM READY FOR YOU TO SIGN AT OUR OFFICE ON YOUR FIRST VISIT.

Phone: (510) 832-3324
Fax: (510) 686-2680