CREDIT APPLICATION
DIRECTIONS: Type your information right into this online form. Print and fax it to 1.813.630.9599 or mail Stepps Towing 9602 - E HWY 92 Tampa, FL 33610

THIS CREDIT APPLICATION WILL NOT BE PROCESSED UNLESS IT IS COMPLETED
FULLY AND SIGNED BY AN AUTHORIZED OFFICER OF THE BUSINESS OR CORPORATION.

GENERAL INFORMATION
TYPE OF BUSINESS: CORPORATION PARTNERSHIP PROPRIETORSHIP
NAME OF BUSINESS:
OFFICE ADDRESS:
CITY: STATE:  ZIP:
PHONE: FAX:
OWNER/PRESIDENT:
GENERAL MANAGER
PARTNERS
(IF ANY):		 1.
2.
3.
TRADE INFORMATION
NOTE: LIST ONLY THOSE VENDORS THAT SELL TO YOU ON OPEN ACCOUNTS.
1. NAME:
FAX #:
ADDRESS:
ACCT #:
CITY:
ZIP:
  STATE:    
2. NAME:
FAX #:
ADDRESS:
ACCT #:
CITY:
ZIP:
  STATE:    
3. NAME:
FAX #:
ADDRESS:
ACCT #:
CITY:
ZIP:
  STATE:    

 


BANKING INFORMATION
TYPE OF ACCOUNT(S): SAVINGS CHECKING LOAN
BANK NAME:
ACCT #:
ADDRESS:
PHONE:
CITY:
ZIP:
STATE:
VENDOR INFORMATTION
IF ENTITLTED TO TAX EXEMPT STATUS LIST TAX NO.: ,
AND RETURN ENCLOSED TAX CERTIFICATE WITH THIS APPLICATION TO OUR OFFICE
DOES YOUR BUSINESS REQUIRE PURCHASE ORDERS? YES NO
LIST NAME(S) OF PERSON(S) AUTHORIZED TO PURCHASE FOR YOUR BUSINESS:
1. NAME:
TITLE:
2. NAME:
TITLE:
3. NAME:
TITLE:
TERMS AND CONDITIONS
  1. ALL EQUIPMENT AND/OR PARTS SHALL REMAIN THE PROPERTY OF STEPPS TOWING SERVICE
    UNTIL FULL PAYMENT IS RECEIVED.
  2. ALL INVOICES ARE DUE ON THE 10TH OF THE MONTH FOLLOWING PURCHASE.
  3. ANY INVOICE PAST DUE AFTER SIXTY (60) DAYS SHALL ACCRUE A FINANCE CHARGE OF 1 1/2% PER MONTH (18% PER ANNUM) ON THE PAST DUE AMOUNT.
  4. IN THE EVENT OF DEFAULT, THE BUYER AGREES TO PAY ALL REASONABLE COLLECTION AND ATTORNEY FEES, INCLUDING COURT COSTS.
I HAVE READ AND UNDERSTAND THE ABOVE TERMS AND CONDITIONS.  I HEREBY CERTIFY THAT THE BUSINESS/CORPORATION LISTED HEREIN IS LICENSED AND AUTHORIZED TO CONDUCT BUSINESS WITHIN THE STATE OF FLORIDA.
SIGNATURE: _________________________________
TITLE:
HOME ADDRESS:
PHONE:
CITY:
ZIP:
STATE:    

DO NOT WRITE BELOW THIS LINE

CREDIT APPROVED BY:_______________

DATE: ____________________

ACCT #:___________________
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