Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION

Transcription

1 Royal Group, Inc. or Royal Plastics Group USA Group Company name CREDIT APPLICATION Tel:( 905) Fax:( 905) New Application For which Royal Group Company Credit Update Please select the Credit Line below that best fits your requirements COD CASH - All shipments Cash with Delivery 1. $5,000 $10,000 20,000 $30,000 (certified check or money order) (List to references below) 2. $40,000 $60,000 90,000 $100,000 Open Account (See credit line information to right) (List bank and four trade references and submit financial statement see reverse side) LEGAL NAME SHIPPING ADDRESS CITY, STATE, ZIP BILLING NAME MAIL ADDRESS CITY, STATE, ZIP PHONE NO. ( ) FAX NO. ( ) BUSINESS FACTS PROPRIETORSHIP CORPORATION SUBSIDIARY OF CORPORATION PARTNERSHIP LENGTH OF TIME AT PRESENT LOCATION ADDRESS CITY STATE ZIP DOES OPERATOR OWN PREMISES? YES NO NAME OF MORTGAGOR OR LESSOR COMPLETE THE FOLLOWING INFORMATION FOR ALL CORPORATE OFFICERS, PARTERNS, OR AN INDIVIDUAL PROPRIETOR: NAME AND TITLE NAME AND TITLE NAME AND TITLE HOME ADDRESS HOME ADDRESS HOME ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP CITY, STATE, ZIP ( ) ( ) ( ) SOCIAL SECURITY NO. SOCIAL SECURITY NO. SOCIAL SECURITY NO. Have you or any of your partners or principals ever filed for bankruptcy protection? YES NO (If YES, explain) BILLING INSTRUCTIONS: Purchase Orders Required? YES NO Accounts Payable Contact: Phone: Sales Tax Exempt: YES NO TAX ID NO.

2 TRADE AND CREDIT REFERENCES (Indicate vendors from whom you purchase for resale. All four trade references must be completed. AUTHORIZATION TO RELEASE INFORMATION The undersigned authorizes to release information on my/our account(s) to Royal Group, Inc. (Name of bank, creditor or supplier) for the purpose of establishing credit terms. It is agreed and understood that the undersigned will hold harmless the companies engaging in the exchange of such information and understands that the information provided is for determining credit worthiness as a routine business practice. Royal Group, Inc. assures the confidentiality of the information provided and makes no claims toward the accuracy of such information received. Authorized Signature Date Company Name FINANCIAL STATEMENT Please Complete Or Provide Your Financial Statement Financial statement enclosed Financial statement to be mailed at a later time Assets Cash $ Accounts Receivable Inventory Fixed Assets Land Other Assets TOTAL ASSETS Liabilities Accounts Payable Short Term Notes Payable Long Term Notes Payable Mortgages Other Long Term Liabilities TOTAL LIABILITIES MUST BE SIGNED BEFORE CREDIT CAN BE EXTENDED)

3 Amounts due as a result of any and all purchase hereafter made by. Hereinafter (Customer) from Royal Group, Inc. or Royal Plastics Group USA hereinafter (Supplier) will be paid to Supplier on the following terms and conditions. TERMS LATE PAYMENT BAD CHECKS & COD CUSTOM ORDERS BACKORDERS RETURNS CLAIMS HANDLING/ RESTOCKING CHARGE TITLE FAILURE TO PAY OR INSOLVENCY ENTIRE AGREEMENT LITIGATION Due and payable in full within 30 days from date of invoice unless otherwise agreed upon in writing. Past due amounts are subject to late payment service charges of 1-1/2% per month, which is an annual rate of 18% or a maximum rate allowed by law. A service charge of $20.00 will be applied to each returned check. Accounts 75 days old will be placed on C.O.D. Legal action will be taken after an account is 90 days old. Orders placed with and accepted by supplier for custom made product(s) may NOT be cancelled. In the event of a backorder, supplier will ship product(s) via standard shipping policies. Supplier will not assume the payment for expenses incurred to expedite delivery. No returned goods will be accepted without authorization and freight charges must be prepaid. Goods returned for credit must show invoice number. Customer assumes full responsibility of all goods when goods are received and signed for by Customer or Agent (including any damage claims). A handling or restocking charge will be made on all goods returned unless due to error caused by Supplier. Title to any and all goods or material hereafter purchased shall remain with Supplier until the full purchase price has been paid. Failure by Customer to pay any part of the purchase price when due, or in the event that proceedings in bankruptcy, receivership, or insolvency are instituted by or against Customer or his property, Supplier may, at its option, cause the entire unpaid balance to become due and immediately payable, and Supplier shall have the right to enter at any time without notice upon the premises where any of the materials purchased by the Customer are located. Customer hereby expressly waives any right to action which may accrue by reason of the entry for taking possession of or the Selling of said materials and agrees to pay all costs incurred with respect thereto including service charges and reasonable attorney s fees and court costs. This Agreement covers all materials which Customer may hereafter acquire at any time from Supplier. This Contract constitutes the entire Agreement with Supplier. No waivers or modifications shall be valid unless the same are in writing and executed by the parties hereto. This contract shall apply and accrue to the benefits of, and be binding upon, the heirs, executors, administrators, successors, and assigns of the respective parties. In the event of any litigation arising out of the Agreement, Supplier shall be entitled to its reasonable costs and expenses incurred including attorney s fees. ACCEPTED BY CUSTOMER: By: Its: POSITION Company Name: Date Accepted:

4 INDIVIDUAL PERSONAL GUARANTY I,, residing at Name (Please Print) 20 For and in consideration of you extending credit at my request to (Hereinafter referred to as the Company ) of which I am (Title): hereby personally guarantee to you payment of any obligation of the Company and I hereby bind myself to pay you on demand any sum which may become due to you by the Company whenever the Company shall fail to pay the same. It is understood that this guaranty shall be continuing and irrevocable guaranty and identity for such indebtedness of the Company. I do hereby waive notice of default, non-payment and notice hereof and consent to any modification or renewal of the credit agreement hereby guaranteed, and to all renewals of extension of credit. The undersigned guarantor agrees to pay, in the event the amount becomes delinquent and is turned over to an attorney for collection, attorney s fee and all attendant collection costs. It is understood that this guaranty may be enforced without first having to sue the corporation or business which incurred the debt. For purposes of the guarantee it is agreed that I will be responsible for the corporate or business debt even though my name does not appear on the invoices or billing. X TYPE OR PRINT NAME Before me, the undersigned, a Notary Public, on this day personally appeared known to me to be the person whose name is subscribed tot he foregoing instrument and acknowledged to me that he executed the same for the purposes and consideration therein expressed. Given, under my hand and seal of office this day of, 20 Notary Public, State of Commission Expires: NAME TAX EXEMPTION CERTIFICATE (Name of Purchaser) (Address of Purchaser) I HEREBY CERTIFY: That I hold a valid seller s permit No. and Use Tax Law; that I am engaged in the business of selling issued pursuant to the Sale that the tangible property described herein which I shall purchase from Royal Group, Inc. or Royal Plastics Group USA will be resold by me in the form of tangible personal property; provided, however, that in the event of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by Sales and Use Tax Law to report and pay tax, measured by the purchase price of such property. Description of property purchased: Phone: ( ), 20 (Printed name of Purchaser or Auth. Agent) (Signature of Purchaser or Agent)

5 Royal Group, Inc. or Royal Plastics Group USA 5770 Highway 7 West Woodbridge, Ontario Canada, L4L 1T8 Tel: (905) Fax: ( 905) To: (Bank name) (Address) Bank Phone: ( ) (City) (State) Fax: ( ) (Zip Code) Dear Sir/Madam: Re: Our Customer Authorized Bank Reference Form for your Review and Completion Your Client, has recently completed our credit application for a line of credit. They have requested a line of credit in the amount of $ per month, for the purchase of materials. In this regard your client has authorized the release of the following bank information. May we kindly ask you to complete the following form on behalf of your Client, and return this information to the above Supplier? Company Name: *Signed: Phone: Title: *I authorize the release of the following credit information. CONFIDENTIAL (To be completed by your Bank) - Date Account Opened - Operating Line of Credit: ( ) Low ( ) Med ( ) High - (Figs.) - % Utilized or ( ) Fully Utilized- Operating Line fluctuates satisfactorily? ( ) YES ( ) NO - Current or Checking Account ( ) Low ( ) Med ( ) High - (Figs.) - Have there been any NSF cheques in the last 6 months? ( ) NO ( ) YES - Security held - Inventory/Accounts Receivable ( ) - Mortgage ( ) - Machinery/Equipment ( ) - Real Estate ( ) - Book Debts ( ) - Personal Guarantee ( ) - Other ( ) - Chattel Mortgage ( ) - Is the subject considered responsible for the requested line of ( ) YES ( ) NO - Additional information for assistance: Signed: Title: