Business Credit Account Application

Business Contact Information

Company Name*

Requested Credit Amount*

Primary Contact *

Secondary Contact

Phone

Fax

Email*

Address *

City *

State *

Zip *

Date Business Commenced *

P.O. Required:

Yes

Business Type:

Sole Proprietorship

LLC

Partnership

Corporation

Other

Other Specify*

Primary Transtar Sales Representative:*

Business and/or Trade Credit References

Business/Creditor Name *

Address *

City *

State *

Zip *

Phone

Contact

Email*

Account Type

Business/Creditor Name

Address

City

State

Zip

Phone

Contact

Account Type

Business/Creditor Name

Address

City

State

Zip

Phone

Contact

Account Type

By initialing below, I/we affirm that the information furnished above is accurate and complete to the best of my/our knowledge. I/we hereby authorize Transtar to receive, and the above referenced creditor(s) to provide, my/our account information for the purposes of determining the amount and conditions of credit to be extended to Company by Transtar.

Initials *

Date*

Initials *

Date*

Sales Tax Certificate

Please check the applicable box and fill in any necessary information

The Company is tax exempt. Upon resale, Companywill collect any applicable sales tax and remit it to the State of Texas. In any event, when Company is purchasing for itsuse or in some other non-exempt form, it is Company's sole responsibility to ensure sales tax is properly assessed on any applicable Transtar invoice at the time of purchase. I have attached a copy of Company's current Sales Tax Certificate to this application.
Our Tax Exemption Number is:

Company is otherwise exempt by reason of:

Company does not claim any exemption, and is therefore to be taxed on every purchase at any time made from Transtar, honoring later tax-billing without argument in event of any failure to include tax at time of purchase.

Personal Guarantee for Company Credit Account

The undersigned hereby personally and unconditionally guarantees and agrees to be jointly and severallyliable for full payment of any and all indebtedness of the above described Company to Transtar A/C Supply, Inc., 3535 South Main, Stafford, TX 77477, in Fort Bend County, Texas. Should legal proceedings be necessary to collect any Company indebtedness, the undersigned unequivocallyguarantees to pay, as they accrue, all the costs of such legal proceedings, including, but not limited to, reasonably incurred attorney's fees, court costs, and accrued interest.

Company Authorized Signature(s)

Printed Name*

Title*

Signature 1 *

Date*

Printed Name*

Title*

Signature 2 *

Date*

Approved Purchasers List

Please enter the name and driver's license numberfor all Company approved purchasers that you are hereby granting authority to purchase on Company's credit account
Company is solely responsible for notifying Transtar in writing of any updates to this Approved Purchasers List

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Full Name

Driver's License

Agreement

Company hereby acknowledges and agrees to abide by the following Terms of Agreement:

Invoices are payable on the tenth of the month following the month of purchase, and
Interest on Company's account, when delinquent, will be charged at the lesser of the following:
- a. The maximum legal amount allowed by law; or 1.5% per month

By signing below, I/we agree to be bound by the terms and conditions of this Agreement. I/we agree that all inquiries regarding the terms of this Agreement, or the interest charged thereon, will be made in writing and addressed to Transtar A/C Supply, Inc.'s Accounting Manager.

Printed Name*

Title*

Signature 3 *

Date *

Printed Name*

Title*

Signature 4 *

Date *

Accounts Payable Information

Contact Name*

Phone*

Email Address*

Document Upload

PLEASE INCLUDE A COPY OF YOUR TDL, TACL, EPA CERTIFICATION, AND SALES TAX CERTIFICATE (IF APPLICABLE)

Request Account

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Business Credit Account Application

Business Contact Information

Business and/or Trade Credit References

Sales Tax Certificate

Personal Guarantee for Company Credit Account

Company Authorized Signature(s)

Approved Purchasers List

Agreement

Accounts Payable Information

Document Upload