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Waltham Lumber Building Materials Credit Application

Fields in marked in ORANGE are required.

   Applicant's Business Name
  
   Business Address
  
   City
  
State
Zip
   Business Phone
  
Credit Limit Requested
   Contact Person
  
eMail of Contact Person
   Type of Business
  
Date Established (mm-dd-yyyy)
   If Leased Business Address, Provide Name, Address, Telephone of Landlord
  
   Type of Organization
Proprietorship   Partnership   Corporation   Trust
Other
   Business Owner / Partner / Officer Information
   1. Name
  
Title
Address
Tel. No.
Social Security No.
   2. Name
  
Title
Address
Tel. No.
Social Security No.
   Bank Information
   Name of Bank
  
Address
Tel. No.
   Type of Account
  
Account Number
Bank Contact
   Trade References
   1. Name of Company
  
Address
Tel. No.
   2. Name of Company
  
Address
Tel. No.
   3. Name of Company
  
Address
Tel. No.
   How were you introduced to Waltham Lumber Building Materials?
Contacted by Salesperson  
Customer  Manufacturer Saw Our Truck   Advertisement   Yellow Pages  
Other  

I hereby represent that the above information is true and accurate. I understand that WALTHAM LIME intends to rely upon the information for the purpose of inducing WALTHAM LIME to extend credit and to sell on account to Applicant. I understand and agree that all sales shall be subject to all terms and conditions of sale. I understand and agree that WALTHAM LIME may at any time, without notice, terminate or modify any credit extended hereunder. I hereby authorize WALTHAM LIME or its agents to verify or investigate all information set forth above or the creditworthiness of the Applicant through credit reporting agencies and other sources.
  1. PAYMENT TERMS:
    Cash Discount indicated on each invoice may be taken if paid in full by 10th of each month following purchase. Net Amount is due on the 25th of the month following purchase.
  2. I agree to pay a service charge for a late payment, computed at a periodic monthly rate of 1˝% on all balances remaining unpaid 25 days after month of purchase.
PERSONAL GUARANTY
In consideration of the proposed extension of credit and to further induce WALTHAM LIME to extend credit to the Applicant, the undersigned Guarantor voluntarily enters into this Personal Guaranty. Guarantor acknowledges having a fi nancial interest in Applicant and benefi tting personally from any extension of credit to Applicant. Guarantor does hereby personally guarantee the payment of all obligations of Applicant owed to WALTHAM LIME now due or that may hereafter become due, without set-off counterclaim, deduction, recoupment, or redemption. The obligation of Guarantor shall be primary, unconditional, continuous and unlimited. Guarantor expressly waves notice of acceptance, sales, or default. In the event of a default by Applicant, WALTHAM LIME shall be entitled to proceed directly to enforce its rights against Guarantor under this Guaranty, without exhausting any other remedies. Guarantor agrees to pay all fees, costs, and expenses, including reasonable attorney’s fees, which WALTHAM LIME may incur in enforcing this Guaranty. This Guaranty shall be interpreted and governed by the laws of Massachusetts. This Guaranty shall be binding against the representatives, heirs, successors and assigns of Guarantor. If executed by more than one person, the obligations of this Guaranty shall be joint and several. The undersigned authorizes WALTHAM LIME to obtain a consumer credit report on the undersigned individuals through credit and consumer reporting agencies or other sources, in order to evaluate the creditworthiness of such individual in connection with the extension of business credit to Applicant. The undersigned knowingly consents to the use of such credit reports in accordance with any applicable state or federal laws. Signed as a sealed instrument.

Please provide your email address so that we may contact you if there is a problem/question regarding the on-line credit application submission.
Email Address:
Note: Your email address and other personal information will only be used for the purposes of the credit application and will not be shared with any third parties not involved in the credit application processing.



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