COMMERCIAL CREDIT APPLICATION
Legal Name of Business______
Street Address______
City______State______Zip______
Billing Address (if different) ______
City______State______Zip______
Phone: ( )______Fax ( )______
Trade or Credit References
Main Bank ______
Address ______
City ______State ______Zip ______
Phone Number ______Fax Number______
Bank Officer responsible for account ______
Three largest trade or credit references:
NameAddress (required)Fax Number (required)
CREDIT AGREEMENT
AUTHORIZATION
The applicant acknowledges and agrees to the need for verification of all information on this application. Applicant hereby authorizes all banks, businesses, and persons identified on this application to disclose and furnish (both in writing and verbally), any and all information requested by Southwest Georgia Oil Company, by telephone, fax, or written correspondence and hereby releases, waives and disclaims any and all claims against Southwest Georgia Oil Company, and all such banks, businesses, and persons arising out of such disclosures. Buyer further authorizes Southwest Georgia Oil Company to obtain a full and complete credit history.
CREDIT APPLICATION TERMS AND CONDITIONS
In consideration of the offer to extend credit, and for other good and valuable consideration received, or to be received by the Applicant, the Applicant, by the signature of its authorized representative set forth below, hereby agrees to the terms and conditions set forth in this document. DO NOT SIGN UNLESS YOU HAVE READ, AND AGREED TO, THE PROVISIONS OF THE CREDIT AGREEMENT SET FORTH BELOW.
DEFAULT
It is understood and agreed that all invoices for purchases under this Credit Agreement shall be paid in full by the 15th day of each month. In the event Applicant is delinquent in payment at any time, Southwest Georgia Oil Company will charge the Applicant a past due service charge at the rate of 1 1/5% per month (18% per annual) , or the maximum legal rate, whichever is less. In the event that any collection efforts are implemented, or litigation is initiated to enforce the terms of this Agreement, Applicant hereby agrees to pay all costs of collection, including any attorney fees which may be incurred by Southwest Georgia Oil Company in its collection efforts or in the enforcement of the terms and conditions set forth on this Agreement. Any returned checks will be charged back to the Applicant along with a $35.00 handling fee.
PROHIBITION AGAINST DISCRIMINATION
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status, or other discriminating basis. The federal agency that administers compliance with this law concerning Southwest Georgia Oil Company, is the Federal Trade Commission, 730, Peachtree Street, NE, Atlanta, Georgia, 30308. Southwest Georgia Oil Company has the right to deny credit to any applicant and retains the right to close any account initiated by this agreement whenever it deems necessary. In such instances, Southwest Georgia Oil Company will give a statement of its reason for such action as required by federal law. Applicant acknowledges that such credit, if granted, shall not be used for consumer purchases, but rather for business, agricultural or commercial purposes, only.
UNCONDITIONAL GUARANTY
The undersigned individual, jointly, severally and unconditionally, guarantees the payment and performance by the Applicant of the terms and conditions of this Credit Agreement. The undersigned further agrees to pay all costs of collection incurred Southwest Georgia Oil Company in the event of default by the Applicant, and/or arising out of an action to enforce this guaranty, including reasonable reasonable attorney’s fees. The undersigned certifies that all information set forth herein is true and correct. Executed the date set forth below.
Printed Name of ApplicantPrinted Name of Guarantor
Printed Name of Authorized RepresentativeSignature of Guarantor
Signature and Title of Authorized RepresentativeDate
PLEASE FAX TO 229-246-2009