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Credit Application
For the purpose of establishing credit accommodations with Wood Door Specialties, the following information is furnished as being true and correct statement of personal and financial information. Please click here for a printable version.
   
Firm Name     Phone
   
Address     City
           
State     Zip Code
           
Mailing Address if different from above
           
Type Of Business     Date Started
           
Ownership Data:   Coporation     Partnership     Individual
           
Have you ever had an account with Wood Door Specialties?   
           
If Yes, under what name?
If Subsidiary: Name and Address of Parent Company
If a corporation, in which state are you incorporated and qualified to do business
           
PRINCIPALS/OFFICERS

Name

Position

 Residence Address
1.)
2.)
3.)
           
WE HAVE OPEN CREDIT ACCOMODATIONS WITH THE FOLLOWING BUSINESSES:
Major Suppliers

Address

Credit Limit

 Telephone Number
1.)
2.)
3.)
           
Name of Bank Address
Accoutn Number
           
Name of Bank Address
Account Number
           

WHAT IS YOUR ESTIMATE OF MONTHLY PURCHASES FROM WOOD DOOR SPECIALTIES?

           
City sales tax No. State sales tax No.
           

SPECIAL ORDERING AND PICK UP INSTRUCTIONS

           

Who to contact if a question should arise

Title

    
           
I hereby authorize any of the references listed above to provide you with any and all information requested by you. Signed, Title and date
          
           

ASSETS

    

LIABILITIES
Cash on hand and in bank     Accounts Payable
Accounts Receivable    

Notes Payable (Due within 1 year)
Notes Receiveable     
Inventory    

Other Current Assests (Describe)

      

Other Current Liabilities (Describe)
           
TOTAL CURRENT ASSESTS     TOTAL CURRENT LIABILITIES
Machinery & Equipment    

Mortgages Payable (Long Term)
Real Estate & Buildings     Other Liabilities
Furniture & Fixtures
    TOTAL LIABILITES
Capital Stock
Surplus
NET WORTH
TOTAL LIABILITIES & NET WORTH
PLEASE NOTE THAT FINANCIAL INFORMATION WILL BE REQUIRED BEFORE CREDIT APPLICATION CAN BE APPROVED OR PROCESSED.  IF CURRENT FINANCIAL STATEMENT IS NOT AVAILABLE AND ATTACHED, PLEASE FILL IN THE FORM ABOVE.  THE ABOVE IS A TRUE AND ACCURATE STATEMENT OF OUR BALANCE SHEET AS OF .
  

By submitting this form, you agree to all of the TERMS OF SALE AND CREDIT AGREEMENT set forth by Wood Door Specialties
I have read the following form and agree to abide by the terms and conditions of sale outlined herein.

Date   Signature

Date   Signature