FABEL CREDIT APPLICATION

Credit Application
Address *
Address
Phone *
Phone
Fax *
Fax
Owner(s)/Officers *
Owner(s)/Officers
All information provided is confidential.
Have you ever filed bankruptsy? *
Accounts Payable Contact Person *
Accounts Payable Contact Person
Purchase Orders Used? *
Sales Tax Exempt? *
Monthly Statements Required? *
Bank Reference
Bank Phone # *
Bank Phone #
Bank Fax #
Bank Fax #
Bank Address *
Bank Address
Bank Contact Person *
Bank Contact Person
All information provided is confidential.
Reference #1
Address *
Address
Phone *
Phone
Fax *
Fax
Reference #2
Address *
Address
Phone *
Phone
Fax *
Fax
Reference #3
Address *
Address
Phone *
Phone
Fax *
Fax
Disclosures
The purpose of obtaining the credit described above, and any future credit granted to the undersigned by the creditor named above, the undersigned, jointly and generally, represents that the above statement is true and complete, authorize the creditor named above, or its agents, to verify them and obtain additional information concerning credit standing and furnish the same to others, and agree to the provisions of any rules, regulations or agreements of credit named above governing such credit. This application is creditors property. The undersigned understands that it may be a federal crime punishable by fine or imprisonment or both to knowingly make any false statements concerning any of the above facts, under the provision of Title 18. United States Code, Section 1014.
For value received and in consideration of seller extending credit to and selling goods to applicant, the undersigned personally hereby unconditionally guarantees payment of any sum(s) of money as may now be due or may become due from applicant to seller, including legal and/or attorney's fees if it becomes necessary to enforce this guaranty of payment. I agree to be responsible for and pay as part of our obligation to the creditor any and all collection and/or legal fees in the event of failure to pay and and all lawful charges when due. Credit Terms: All accounts are due and payable by the 10th of the following month. Any account that is not paid by the end of the following month will be accessed a service charge 2% (24% annual) of the unpaid balance. Any account that goes beyond 45 days past due will be placed on C.O.D. basis until the account is paid in full.
Please Type Name as Form of Signature *
Please Type Name as Form of Signature
The undersigned, so understand and agree to the terms set forth in this application and certify that I am either an officer or owner of debtor.
Date *
Date
Provisions of any marital property agreement, unilateral statement under S. 766.59, WI State, or Court decree under S. 766.70, WI State., adversely affects interests of the creditor, prior to the time the credit is granted or an open-end credit plan is entered into, is furnished a copy of the statement, decree or has actual knowledge of the provision.
Applicants Sign Name Here
Applicants Sign Name Here
Co-Applicants Sign Name Here
Co-Applicants Sign Name Here
Married Wisconsin resident applying for separate credit. The credit being applied for, if granted, will be incurred in the interest of my marriage or family.
Date
Date