Wednesday September 8, 2010
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Park Seed Wholesale - Credit Application
Park Seed Wholesale
Credit Application
All information on this application will remain confidential
Date of application:
Business Name:
*
$ Amount of Credit Requested:  *
Billing Address:

Street/P.O. Box
*
Shipping Address:

Street/P.O. Box
*
City:
*
State:
*
Zip:
*
City:
*
State:
*
Zip:
*
 
Telephone No. (Area Code and Phone Number)
Daytime:*
Evening:*
Fax No:
Email:
Type Business: (Select one)
Proprietorship Partnership Corporation

Are you exempt from sales/use tax?
No    Yes    Number:  
Month/Year Established:
Under Current Owner:
Date Incorporated:
State Incorporated:
 
Retail Licence No:
FEDERAL TAX ID#:
Social Security No:
Business Location Is:
OwnedLeased
Number of Employees
Dun and Bradstreet No. if applicable:
 
NAMES OF: (If a Corporation)
Owner:
Partner:
Manager:
President:
Vice President:
Sec/Tres:
COMPLETE NAME & ADDRESS OF:
Trade reference with one or more years of credit history
Company Street/P.O. Box City, State & Zip Area Code Fax#
Bank Address City, State & Zip Account No.

Terms:
Credit terms are 2% 10 DAYS, NET 30 DAYS FROM DATE OF INVOICE. A finance charge of 1½% per month (18% annual rate) will be added to all unpaid invoices over 30 days from invoice date. The undersigned authorizes and releases all banks, persons and companies listed on the application to furnish information and authorize the checking of credit. Checks will be processed using electronic check processing. A $25.00 electronic debit will be made for each item returned as NSF. In the event of default, the undersigned and guarantor agree to pay Park Seed Wholesale, Inc. ("Park Seed Wholesale") all collections costs, up to 50% of the balance due, in addition to any court costs, and legal fees incurred. The applicant also acknowledges and understands that Park Seed Wholesale, maintains jurisdiction in Greenwood County, South Carolina, including the United States District Court for the District of South Carolina.

Personal Guarantee:
In consideration for credit extended by Park Seed Wholesale, the undersigned contracts and guarantees to the faithful payment, when due, of all accounts of the entity seeking credit from the date of the application. The undersigned guarantor hereby contracts and guarantees to Park Seed Wholesale the faithful payment, when due, of said applicant for purchases. Extension of time granted from Park Seed Wholesale for payment from applicant, acceptance of partial payments, and all agreements made with applicant by Park Seed Wholesale may be declared null and void and Park Seed Wholesale reserves the right to demand payment in full by guarantor if applicant defaults on terms set forth. The guarantor agrees to pay Park Seed Wholesale all collection costs, up to 50% of the balance due, in addition to any court costs, and legal fees incurred. The applicant also acknowledges and understands that Park Seed Wholesale maintains jurisdiction in Greenwood County, South Carolina, including the United States District Court for the District of South Carolina. Revocation of the guarantee must be in writing and delivered by certified mail with a 30 day notice. Park Seed Wholesale reserves the right to refuse notice of revocation in the case of applicant already being in default of terms set forth. Personal credit may be obtained for the purpose of granting credit.

I have read and accept the terms and conditions set forth in the afore mentioned documents.
* Required fields
IMPORTANT:

1. Application cannot be processed without a Federal Tax ID # or Social Security #, and 2 authorized signatures.
2. Any missing information will delay the process of your credit approval.
3. Due to regulatings regarding the transferrence of personal account information such as credit card information, social security numbers, bank account numbers, tax ID numbers, etc., via electronic means, a Park Seed Wholesale customer service representative will contact you to obtain this information. If you are exempt from sales or use tax, you will need to provide a copy of your exemption certificate. Our customer service representative will instruct you on how to send us this information.
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Park Seed Wholesale
 
World Class Products - Downhome Friendly Service
Park Seed Wholesale | 2 Parkton Ave | Greenwood, SC 29647
Phone: 800-845-3366   Fax: 800-209-0360
info@parkwholesale.com
Copyright 2001-2010 Geo. W. Park Seed Co.