Instructions: Please fill out this form (use your TAB button to advance fields) in its entirety and sign below. When complete, please fax this application and all supporting documents to +1 (301) 499-9400 or email it to firstname.lastname@example.org. Incomplete information may result in longer processing times. We hope the changes that we have made to this form will make it more user-friendly and, in turn, less work for you. Thank you for taking the time to complete this form. We really appreciate your business!
BUSINESS LICENSE NUMBERS>>>
I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT RECYCLED AGGREGATES, LLC AND/OR THEIR AFFILIATES MAY RELY ON THEM FOR SUCH DETERMINATION. I/WE AUTHORIZE RECYCLED AGGREGATES, LLC AND/OR ITS AFFILIATES TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN THE PROPERTY OF RECYCLED AGGREGATES, LLC REGARDLESS OF CREDIT DECISION. RECYCLED AGGREGATES, LLC MAY REQUIRE THE PERSONAL GUARANTEE(S) OF THE APPROPRIATE CORPORATE OFFICER(S) OR PRINCIPAL OF THE ENTITY REQUESTING CREDIT, A CREDIT CARD GUARANTEE, A BANK LETTER OF CREDIT, AND/OR AN OPERATING DEPOSIT. RECYCLED AGGREGATES, LLC IS AUTHORIZED TO ANSWER QUESTIONS ABOUT THIS CREDIT EXPERIENCE BETWEEN RECYCLED AGGREGATES, LLC AND ME/US. I/WE CERTIFY THAT I/WE HAVE THE APPROPRIATE AUTHORITY TO REQUEST CREDIT AND TO ENTER INTO THIS ARRANGEMNET, IF APPROVED. I/WE ALSO UNDERSTAND THAT THERE IS NO OBLIAGTION TO PURCHASE SERVICES OR PRODUCT FROM RECYCLED AGGREGATES, LLC AND/OR ITS AFFILIATES, REGARDLESS OF CREDIT DECISION.
I/WE UNDERSTAND AND AGREE THAT THE TERMS OF CREDIT ARE NET 10 DAYS. IF OUR ACCOUNT REMAIN OUTSTANDING FOR MORE THAN 10 DAYS, I/WE AGREE TO PAY A FINANCE CHARGE OF 2% PER MONTH ON ANY OUTSTANDING BALANCE. IF ALL OR ANY PART OF THIS ACCOUNT SHOULD BECOME OVERDUE AND PLACD IN THE HANDS OF AN ATTORNEY OR OTHER AGENCY FOR COLLECTION, YOU WILL BE REQUIRED TO PAY ATTORNEY AND/OR COLLECTION FEES OF A REASONABLE AMOUNTS ALLOWED BY LAW.
I/WE SIGN THIS AGREEMENT IN GOOD FAITH AND UNDERSTAND THAT SIGNING THIS APPLICATION IS YOUR CONSENT TO OBTAIN A CONSUMER CREDIT REPORT AND TO CONTACT OUR BANK AND TRADE REFERENCES TO EVALUATE OUR CREDIT IN CONNECTION WITH THIS APPLICATION.
*Social Security Number (SSN) is required for all SOLE-PROPRIETORSHIP and INDIVIDUAL applicants.
FORM R-CREDIT-2.01 AUGUST 2011
ReAgg LLC4714 Cremen RoadTemple Hills, MD 20748