Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
Texas Truck A/C Inc.
18 Years of Service
ASE Logo

1705 S. Peachtree Road
Balch Springs, TX 75180
972.289.2010 or 1.866.481.9654
service@texastruckac.com

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Credit Application

BUSINESS INFORMATION

Company Name:

Address:

City: State: Zip:

Contact Name: Phone:

A/P Contact: Phone:

Address to Mail Invoices (if different from above):

Address:

City: State: Zip:

Years in Business:

EIN# or SSN#

Dun and Bradstreet #

BANK INFORMATION

Bank Name:

Address:

City: State: Zip:

Phone: Acct. #

Officer:

TRADE REFERENCES

Name:

Address:

Phone: Fax:

Account No.:

Name:

Address:

Phone: Fax:

Account No.:

Name:

Address:

Phone: Fax:

Account No.:

ACCOUNTS PAYABLE INFORMATION

Purchase Order Required:

Preferred Method Of Invoicing:

Accounts Payable Contact: E-MAIL:

Fax:

Invoices Mailed To:


 

PLEASE NOTE OUR TERMS ARE NET 30 DAYS.
WE ALSO ACCEPT ALL CREDIT CARDS.

The above information is submitted for the purpose of obtaining credit, intending that these facts should be relied upon. If credit is extended, I (we) hereby agree to cooperate, in consideration of this privilege by making a settlement on or within 30 days from the date on the invoice. If our Company does not meet the terms stated above, we (the customer) will be responsible for payment of all collection agency and interest fees. Interest fees are accrued the first day that the payment is late. The interest rate calculation is Prime plus one percent.


Authorized Agent - Signature


Authorized Agent - Print


Date

In Consideration of Texas Truck A/C, Inc. permitting the rendering of service to the Undersigned Company or entity (???Applicant???) agrees to the following terms and conditions:

CREDIT TERMS: All invoices are due on a Net 30 basis. All balances carried beyond the due date will be delinquent.

CREDIT LIMIT: Applicant, if approved, will be granted a maximum of $3000.00 credit limit. In the event that this amount is insufficient, adjustments can be made on a case-by-case basis.

ACCOUNT ACTIVITY: To maintain account activity, Applicant must spend $750.00 per year. In the event that account becomes inactive, Applicant must then reapply for credit.

CHANGE OF OWNERSHIP: I/We understand that we must notify Texas Truck A/C, Inc. in writing of any change in ownership, the name of the business or structure of the business under which credit is established.

In the event of default, and if this account is turned over to an agency and/or an attorney for collection, the undersigned agrees to pay all reasonable attorney fees and/or costs of collection whether or not suit is filed.

Applicant???s signature attests financial responsibility, ability/willingness to pay in accordance with terms:

Firm Name:

By: Title:

By: Title:

 

CONSENT TO OBTAIN CONSUMER CREDIT INFORMATION

The undersigned individual, who is either a principal of the credit applicant or a sole proprietorship of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a credit reporting agency on the undersigned and/or their business by the above named business credit grantor or an assignee/designee from time to time as may be needed, in the credit evaluation process.


Signature


Print Name


Date


SSN#

PERSONAL GUARANTY

For the extension of credit by Texas Truck A/C, Inc., the undersigned (???Guarantor???), individually, jointly and severely, absolutely and unconditionally guarantee payment of all debts and sums, present and future, due Texas Truck A/C, Inc. under the Credit Application and Agreement, including, without limitation, all interest, late charges, costs and attorneys??? fees, and the performance of every obligation, present and future, pursuant thereto. This Personal Guaranty is continuing. Guarantor waives set off and all defenses and waives acceptance, creation of debt, presentment, protest, demand for payment and diligence, and waives all notices permitted by law, including, without limitation, notice of acceptance, creation of debt, presentment, protest, of dishonor, default, demand for payment, non-payment and diligence, and waives subrogation and any requirement that Texas Truck A/C, Inc. first institute suite or exhaust any rights or other legal remedies before proceedings against Guarantor, including that Texas Truck A/C, Inc. first proceed against the Applicant or against any other party or first to realize on any security before enforcing this Personal Guaranty. Guarantor consents to any renewals, extensions, and modifications of any payment terms, surrender, release, exchange, substitution, dealing with or taking of additional security or any other guaranties, abstaining from taking advantage of or realizing upon any security or other guaranties and any and all other forbearances or indulgences by Texas Truck A/C, Inc. to Applicant, Guarantor or any other party without notice to Guarantor and without affecting Guarantors liability. Guarantor shall indemnify and pay Texas Truck A/C, Inc. for any loss incurred by Texas Truck A/C, Inc. as the result of the failure of Applicant or Guarantor to perform and for any and all costs, expenses and reasonable attorneys??? fees incurred by Texas Truck A/C, Inc. in endorsing or attempting to enforce the Credit Application and Agreement or this Personal Guaranty. Texas Truck A/C, Inc. may terminate this agreement at will without notice or demand.

The undersigned personal guarantor, recognizing that his or her individual credit history may be a necessary factor in the evaluation of this personal guaranty, hereby consents to and authorizes the use of a consumer credit report on the undersigned, by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.


Signature


Print Name


Date


SSN#


Signature


Print Name


Date


SSN#


Contact information if you chose to send via mail or fax:

Texas Truck A/C, Inc.
1705 S. PEACHTREE RD.
Balch Springs, TX 75180
Phone: 972-289-2010 Fax 972-289-7772