Oil Company Incorporated

Transcription

1 Thank You for requesting the Application for Credit with Yorkston Oil Company, Inc. There are a few things that we would like you to know before completing this application. ALL FEATURES OF THE COMMERCIAL FUELING NETWORK ARE LISTED AND EXPLAINED AT Application for Credit: 1. If you need Help, please call (8am-5pm PST). 2. If you are applying for credit as a business you must include your Tax ID where noted. 3. All principals must be listed, along with SSC#. This information is required to complete your application. 4. Three (3) Credit References are required. Please be as thorough as possible when filling in blanks. 5. When including your bank reference all blanks are required. 6. Both Applicant s Signature and Guarantor s Signature are required as well as Guarantor s SSC#. On Commercial Applications, the Guarantor must be a principal of your Business. 7. Filling out this application does not guarantee an account with Yorkston Oil Company, Inc. All new accounts are established under approval of credit. Card Requirement Form: 1. It is best if you call the CFNdesk to complete this portion of the application. The Commercial Fueling Network offers an almost endless combination of security and convenience features that should be suited to your needs, please call Yorkston Oil Co. at (8am-5pm PST) ask for the CFNdesk. Authorization Agreement for Automatic Debit: 1. This feature is required for all accounts applying outside the State of Washington; however, anyone can take advantage of this option. All accounts that use this feature are given $0.05 off the price per gallon on all fuel types. This discount applies only to the Commercial Fueling Network and does not include Lubes, Furnace Oils, or Wholesale Fuels. Commonly Asked Questions: If you have any other questions, please call Yorkston Oil Co. at ask for the CFN desk. 1. Why do we need personal info about principals in our company? In the fuel business we deal with a high volume of monies, it is in our best interest to thoroughly check the credit of a company and those who own the company in order to assess the risk of issuing an account and the probability of payment. 2. Why do we need a Guarantor s Signature? Unfortunately, in this day and age, requiring a Guarantor s signature has become a necessity in doing business. 3. Why do we require an ACH Direct Withdrawal for accounts outside Washington State? We consider ourselves to be out of the area of a company who does not do business in the State of Washington.

2 APPLICATION FOR CREDIT FIRM NAME TAX ID ADDRESS CITY STATE ZIP PHONE FAX PREVIOUS ADDRESS (if above is less than 3 years) CITY STATE ZIP HOW LONG IN BUSINESS TYPE OF BUSINESS [ ] CORPORATION [ ] PARTNERSHIP [ ] LLC [ ] SOLE PROPRIETOR NAME OF PRINCIPLES WITH SOCIAL SECURITY NUMBERS (REQUIRED): 1. SS# 2. SS# 3. SS# CREDIT REFERENCES: NAME ADDRESS PHONE BANK REFERENCES: 1. CONTACT: PHONE: TERMS: Lubes and Furnace Oils Net 30 days from invoice date. Furnace oils may have prearranged budget payments. Cardlock Discounts offered for 15 days prompt pay or ACH bank draft. ACH Bank Draft may be required. Wholesale ACH bank Drafts Net 3 or 5 day. A 1.5% per month service charge applies to all balances and invoices over 30 days. Account suspension takes place on accounts with balances or invoices over 30 days.

3 APPLICATION FOR CREDIT (CONTINUED) DISCOUNTS FOR CFN CARDLOCK ACCOUNTS: A Discount of.03 cents per gallon is given on a billing cycle if received in our office on or before due date specified on invoice. An additional.02, for a total of.05 cents per gallon, is given if you opt to use ACH Direct Debit. Your checking account will be debited on the 5 th business day from the invoice date. Your invoices and draft notification are faxed to you when invoices are generated. CREDIT LIMIT: A credit limit is set for each account. At no time will the customer be permitted to charge purchases if his (her) balance would exceed the credit limit. APPLICATION OF PAYMENTS: Payments on accounts are applied first to any charges (s), then to the invoice noted on payment or payment stub. COLLECTION COSTS: If Yorkston Oil Company, Inc. must refer this account to a lawyer or collection agency for collection, the undersigned agrees to pay collection costs, including attorney s fees and court costs. With my signature, I authorize Yorkston Oil Company, Inc. to collect bank and credit information in order to process this application. DATE APPLICANT S SIGNATURE PRINT NAME The undersigned hereby personally guarantees to Yorkston Oil Company, Inc. the full and punctual payment, and punctual payment and performance of the obligations of the named company or person. This guarantee includes all debts and obligations of the company or person, including principle, interest, collection agency fees, attorney s fees and all other obligations arising under of by reason of the extension of credit to the company or person. DATE GUARANTOR S SIGNATURE PRINT NAME SOCIAL SECURITY NUMBER *this application will not be processed if this page is not signed in both places*

4 CARD REQUIREMENTS FORM Need Help? Call Please fill in your requirements per card. Account Number (office only) CFN SECURITY FEATURES Please CIRCLE what hours, days, and number of transactions you want your driver to fuel per day. Company Name Phone Number Fax Number IMPORTANT: PLEASE NOTE YOUR CARD WILL WORK ONLY AT THE HOURS, DAYS AND NUMBER OF TRANSACTIONS SPECIFIED BELOW. You can set up your whole account with the same criteria, or you can customize each card with individual limits. Authorized Company Contact Address YES Please use the first card listed on this form so ALL my cards have the same security profile. Driver Name or Vehicle Description Describe each card how you would prefer it show on your billing. Vehicle Number Up to 5 digits Odometer On-Site Manual Entry For drivers to input their vehicle or employee # at time of fueling Gallon Limit State size of fuel tank Fuel Requirements You may specify one, two, three or all products per card On-Site Oil By Qt or Gal HOURS TO FUEL DAYS TO FUEL # OF TRANS- ACTIONS PER DAY 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) TRANS GALS

5 Authorization Agreement for Automatic Debit Yorkston Oil Company, Inc. EIN# I (we) hereby authorize the above named company, hereafter called the COMPANY, to initiate debit entries to my (our) account identified below and with the depository named below, hereafter called the DEPOSITORY, to debit the same said account. DEPOSITORY NAME: BRANCH: ROUTING NUMBER: ACCOUNT NUMBER: This authority is to remain in force and effect until the COMPANY and DEPOSITORY have written notification from me (us) of it s termination in such manner as to afford COMPANY and DEPOSITORY a responsible opportunity to act on it. I (we)have the right to stop payment a debit entry by notification to DEPOSITORY at least three (3) days prior to my (our) ACH debit. In case of an erroneous debit, provided I (we) supply notice to the DEPOSITORY within (60) days of receiving my (our) bank statement, the DEPOSITORY must investigate and resolve it within forty-five (45) days, but if it has not been done within ten (10) days, my (our) account will be credited for the amount in question while the DEPOSITORY finishes investigation. CUSTOMER NAME: EIN NUMBER (IF APPLICABLE): FAX NUMBER: AUTHORIZED SIGNER: AUTHORIZED SIGNER: DATE SIGNED: It is required that you attach a photocopy of a voided check from the account to be debited