Financial Leverage Definition, Advantages, and Disadvantages
Newaccountcreditapp
1. Account Number Sales
(For Office Use Only) Team
CREDIT APPLICATION/AGREEMENT FORM
LEGAL NAME OF APPLICANT(S): __________________________________________________________________________________________________
TRADE NAME OF APPLICANT(S): ________________________________________________________________ EIN or SSN: _____________________
OFFICERS/OWNERS NAME: ______________________________________________ TITLE: __________________________________________________
OFFICERS/OWNERS NAME: ______________________________________________ TITLE: __________________________________________________
MAILING ADDRESS: _____________________________________________________________________________________________________________
TELEPHONE: (_____)__________________ FAX: (_____)__________________ WEBSITE: _________________________________________________
DUN & BRADSTREET #: ____________________________________ DATE BUSINESS ESTABLISHED: ________________________________________
LENGTH OF TIME AT CURRENT ADDRESS: _____ ENTITY (Check One.) □ Corporation □ Limited Liability Co. □ Partnership □ Proprietorship
TERMS REQUESTED: NET TERMS CREDIT LIMIT ____________________ COD __________ PREPAID (WIRE TRANSFER, ACH) __________
SHIPPING ADDRESS: _____________________________________________________________________________________________________________
A/P CONTACT: _________________________________________ E-MAIL ADDRESS: ____________________ PHONE #: __________________________
* BANK, TRADE REFERENCES & CURRENT FINANCIAL STATEMENTS ARE REQUIRED FOR NET TERMS *
BANK REFERENCES: (1)________________________________________________ (2)___________________________________________________
FAX NUMBER: ________________________________________________ ___________________________________________________
PHONE NUMBER: ________________________________________________ ___________________________________________________
ACCOUNT NUMBERS: ________________________________________________ ___________________________________________________
BANK HOLDS SECURITY INTEREST? Yes ______ No ______ Yes ______ No ______
TRADE REFERENCES: PLEASE FAX BACK TO: (315) 431-9535
NAME CITY/STATE TELEPHONE # FAX # ACCOUNT #
IN CONSIDERATION OF THE EXTENSION OF CREDIT BY WYNIT,INC., APPLICANT AGREES TO THE FOLLOWING TERMS:
1. The terms of payment are net 30 days.
2. Current or year end financial statements will be supplied to WYNIT, Inc. upon request.
3. In the event of default in payment, if the account is placed with an attorney or collection agency, applicant agrees to pay all the expenses and costs of
collection to include reasonable attorneys fees.
4. THIS AGREEMENT SHALL BE GOVERNED BY THE LAWS OF THE STATE OF NEW YORK AND APPLICANT CONSENTS TO THE
JURISDICTION OF THE COURT OF THE STATE OF NEW YORK FOR ONONDAGA COUNTY OR ANY FEDERAL DISTRICT COURT
HAVING JURISDICTION THEREIN FOR THE DETERMINATION OF ALL DISPUTES ARISING UNDER THIS AGREEMENT.
5. Applicant authorizes WYNIT, Inc., or any credit bureau or other investigative agency employed by WYNIT, Inc., to investigate the references listed
herein for verification and to thereafter obtain, from time to time, credit reports to evaluate its creditworthiness.
PRINT NAME: _____________________________________________________________________ DATE: ______________________________________
SIGNATURE: _____________________________________________________________ TITLE: ______________________________________________
Please fax credit application to: (315) 703-6911
2. CREDIT APPLICATION/AGREEMENT FORM
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THE FOLLOWING SECTION MUST BE COMPLETED IF DEALER IS NOT INCORPORATED
PRINCIPAL (Owner/Partner) INFORMATION (Use separate sheet if necessary to list 100% ownership)
ividual who is either a principal of the credit applicant or a sole proprietor of the credit application, recognizing that his or her individual credit history m
credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business cr
credit evaluation process. A signature is required for individuals releasing their credit history.
NAME OF OWNER, PARTNERS OR OFFICERS & TITLES:
NAMES: (1)________________________________________________ (2)__________________________________________________
ADDRESSES: ________________________________________________ __________________________________________________
________________________________________________ __________________________________________________
SOCIAL SECURITY #: ________________________________________________ __________________________________________________
TELEPHONE #: ________________________________________________ __________________________________________________
PREVIOUSLY FILED BANKRUPCY, DATES FILED: □ YES □ NO _____________________ _________________________________________________
Date filed Status
SIGNATURE (S) ________________________________________________ __________________________________________________
IF THE APPLICANT IDENTIFIED IS A PARTNERSHIP, THE FOLLOWING PERSONAL GUARANTY MUST BE SIGNED BY ALL PARTNERS; IF A
CORPORATION, IT MUST BE SIGNED BY AT LEAST TWO OFFICERS; IF A LIMITED LIABILITY COMPANY, IT MUST BE SIGNED BY THE
MANAGER.
PERSONAL GUARANTY
As an inducement for WYNIT, INC. ("Creditor") to extend credit to the ______________________________ hereof, and also in consideration therefore,
the undersigned, hereby guaranty to the Creditor, absolutely and unconditionally, jointly and severally, the prompt payment of any indebtedness of the Applicant
when due, without regard for the validity, regularity or enforceability thereof as to the Applicant.
The Guarantors agree to pay any finance charges which may accrue on the account of the Applicant and to reimburse the Creditor for all expenses
(including costs of collection inclusive of reasonable attorneys fees and disbursements) incurred by the Creditor in connection with any indebtedness of the
Applicant, the collection thereof, or the enforcement of this Personal Guaranty. The Guarantors waive notice of acceptance of this Personal Guaranty, the
extensions of credit to the Applicant, demand for payment of the indebtedness of the Applicant, notice of default in payment by the Applicant, all other notices
to which the Guarantors might otherwise be entitled, and any demand for payment under this Personal Guaranty.
This is a guaranty of payment and not of collection and the Guarantors further waive any right to require that action be brought against the Applicant or any
other person. The Creditor shall have the right to discharge or release any one or more Guarantor from any obligation hereunder, in whole or in part, without in
any way releasing, impairing or effecting their rights against any other the Guarantors.
No delay of failure on the part of the Creditor in exercising any rights hereunder shall operate as a waiver of the obligation of the Guarantors. No
modification or waiver of the obligation of the Guarantors shall be effective unless in writing signed by an authorized officer of the Creditor. Any subsequent
incorporation, merger, reorganization or sale of the Applicant's business shall not operate as to terminate this Guaranty which, together with the transactions
incident thereto shall be governed by the laws of the State of New York. Guarantors consent to the jurisdiction of the Court of the State of New York, or any
Federal District Court having jurisdiction in such County, for the determination of all disputes arising under Applicant’s Credit Agreement and/or this guaranty.
Dated: _____________________
Guarantor
Signatures: _____________________________________________________ _________________________________________________________
Print Names: _____________________________________________________ _________________________________________________________
Social Security Number: _______________________________________________ _________________________________________________________
Address: ______________________________________________________ _________________________________________________________
_______________________________________________________ _________________________________________________________
Notary: _____________________________________________________________________________________________
Please fax credit application to: (315) 703-6911
3. UNIFORM SALES & USE TAX CERTIFICATE – MULTIJURISDICTION
The below-listed states have indicted that this form of certificate is acceptable. The issuer and the recipient have the responsibility of
determining the proper use of this certificate under applicable laws in each state, as these may change from time to time.
Issued to Seller: WYNIT Inc. Account Number
Address: 5801 E. Taft Road (For Office Use Only)
N. Syracuse, NY 13212
I certify that:
Name of Firm: ____________________________________________________________ Is engaged as a registered:
(Required) (Required – Please check all that apply)
DBA Name: ____________________________________________________________ □ Lessor
(Required if using DBA Name) □ Manufacturer
□ Retailer
Street Address: ____________________________________________________________ □ Seller
(Required) □ Wholesaler
□ Other ___________________________
City, State & Zip: ____________________________________________________________
(Required)
and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for
wholesale, resale, ingredients, or components of a new product or service to be resold, leased, or rented in the normal course of business. We are in the
business of wholesaling, retailing, manufacturing, leasing (renting) the following:
Description of business (Required): ______________________________________________________________________________________________________
General description of tangible property or taxable services to be purchased from the seller: Computer hardware, software, and/or related items
State Registration State Registration State Registration
Seller’s Permit, or ID Seller’s Permit, or ID Seller’s Permit, or ID
State Number of Purchaser State Number of Purchaser State Number of Purchaser
Alabama ________________________ Louisiana state specific form required* Ohio ________________________
Arizona ________________________ Maine _________________________ Oklahoma ________________________
Arkansas ________________________ Maryland _________________________ Pennsylvania state specific form required*
California state specific form required* Massachusetts state specific form required* Rhode Island _________________________
Colorado ________________________ Michigan _________________________ South Carolina _________________________
Connecticut ________________________ Minnesota _________________________ South Dakota _________________________
Dist. Of Columbia ________________________ Mississippi _________________________ Tennessee _________________________
Florida state specific form required* Missouri _________________________ Texas _________________________
Georgia _________________________ Nebraska _________________________ Utah _________________________
Hawaii _________________________ Nevada _________________________ Vermont _________________________
Idaho _________________________ New Jersey _________________________ Virginia state specific form required*
Illinois _________________________ New Mexico state specific form required* Washington _________________________
Indiana state specific form required* New York state specific form required* West Virginia state specific form required*
Iowa _________________________ North Carolina _________________________ Wisconsin _________________________
Kansas _________________________ North Dakota _________________________ Wyoming state specific form required*
Kentucky _________________________
I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or Use Tax, we will
pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be a
part of each order, which we may hereafter give to you, unless otherwise specified, and shall be valid until cancelled by us in writing or revoked by the
city of state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.
Authorized Signature (Required): _________________________________________________________________________________
(Owner, partner, or corporate officer)
Title & Date (Required): _________________________________________________________________________________
* For a Florida DR-13 form, please contact the Florida Department of Revenue; For a New Mexico Resale Certificate, please contact the New Mexico
Taxation and Revenue Department. The following states do not require a resale certificate: Alaska, Delaware, Montana, New Hampshire & Oregon.
Please fax credit application to: (315) 703-6911
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