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Credit Application

    Credit Application

    PDF Form

    OWNERSHIP

    Sole Proprietorship

    Partnership

    Corporation

    PRINCIPAL

    PRINCIPAL

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    TRADE REFERENCES:

    MUST HAVE 5 OR MORE REFERENCES TO BEGIN PROCESS

    If incorporated, list board members:

    BANK REFERENCES

    Has this firm or any of its principals ever been Bankrupt?

    Any misrepresentation in this application will be considered evidence of fraud since this information is the basis for the extending of credit. As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. You are authorized to investigate the credit references listed.

    In consideration for the extension of credit, said business promises to pay for all purchases within the terms agreed and agrees to pay a service charge per month of 1-1/2% per month (18% annual percentage rate) on all past due to balances. In the event, any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees, whether or not litigation has commenced, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.

    Any action to enforce payment on account against the applicant named herein shall be governed by and construed in accordance with the laws of the state of Louisiana without regard to the conflicts-of-laws rules thereof.

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    To Whom It May Concern:

    The undersigned has made an application to Pars Auto Parts, Inc. for a commercial credit line, and hereby authorizes Pars Auto Parts, Inc. to obtain from any credit reporting agency any credit report relating to the undersigned which Pars Auto Parts, Inc. may deem necessary for evaluating the commercial credit line requested by the undersigned.

    The undersigned hereby authorizes any bank or other lender or grantor of credit to provide Pars Auto Parts, Inc. information regarding the character, reputation, financial responsibility and indebtedness of the undersigned as requested by Pars auto Parts, Inc. for the purpose of evaluating the commercial credit request of the undersigned.

    The undersigned hereby releases Pars Auto Parts, Inc. and any lender or grantor of credit from any and all claims or causes of action that may arise or which he/she might have by reason of information furnished Pars Auto Parts, Inc. by a credit reporting agency or by a bank or other lender or grantor of credit.

    Pre-authorized Payment (Debit) Service

    Authorization Agreement For:

    Company/Employer Name

    Company ID Number

    I (we) authorize the above COMPANY and the financial institution listed below to electronically debit my (our) Checking-Savings Account Specified below.

    This authority is to remain in full force and effect until COMPANY and BANK have received written notification for me (or either of us) or its termination in such time and in such manner as to afford COMPANY and BANK a reasonable opportunity to act on it. A copy of this Authorization Agreement must be given to the customers and will be provided by COMPANY, upon request, to the BANK.

    Personal Guarantee

    In consideration for Pars Auto Parts, Inc. extending credit to the business identified below for any materials and/or services after this date at the request of applicants or its agents, the undersigned individual herby personally guarantees unconditionally and irrevocably the prompt payment of any sums now or hereafter owed to Pars Auto Parts, Inc. by the business identified below whether said sums are due under an open account, contract or other.

    It is understood and agreed that credit, if extended, it to be on a continuing basis and any exceed estimated maximum credit limit required as stated in the credit agreement between Pars Auto Parts, Inc. and the business. Pars Auto Parts, Inc. shall not be obligated to notify the undersigned of the
    dates or amounts of any such credit and the undersigned waive demand, a notice of default and any extension of time or any forbearance which may be extended by Pars Auto Parts, Inc.

    This guarantee shall continue in force until notice in writing, sent by registered or certified mail, return receipt requested is received by Pars Auto Parts, Inc. Said notice shall specify the date on which this guarantee is to be terminated, said date not to be less than seven days after such notice is received. Such termination shall in no way release the undersigned as to any sum or debt incurred prior to such termination.

    Any action to enforce payment on account against the applicant named herein shall be governed by and construed in accordance with the laws of the state of California without regard to the rules of the conflicts-of-law thereof.

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