73 City Hall Ave. Gardner, MA 01440
(978) 632-4890
E-mail: service@peoplesfuel.com
BUSINESS CREDIT APPLICATION
Please fill out the information and e-mail to us by using the Submit Application button below.
LEGAL NAME OF BUSINESS
STREET ADDRESS PO BOX NO.
CITY STATE ZIP PHONE
EASYLINK OR FAX NUMBER
CORPORATION PROPRIETORSHIP PARTNERSHIP FEDERAL ID #
NO. OF YEARS IN BUSINESS INCORPORATED IN WHICH STATE:
LIST ALL SUBSIDIARIES OF AFFILIATED COMPANIES:
FULL NAME, TITLE, SOCIAL SECURITY NUMBER, AND HOME ADDRESS OF OWNERS:
NAME: TITLESS#
HOME ADDRESS:
PRINCIPAL BANK REFERENCE
ADDRESS
BANK OFFICER(s)
ACCOUNT NUMBER PHONE
CREDIT REFERENCES
NAME ADDRESS
TELEPHONE NUMBER: HIGHEST CREDIT:
REAL ESTATE OWNED
NAME OF OWNER (INDIV/CORP/TRUST)
LOCATION
LATEST FISCAL YEAR-END FINANCIAL STATEMENT MAY BE REQUIRED.
AMOUNT OF CREDIT LINE REQUESTED
BY ELECTRONICALLY TRANSMITTING THIS FORM VIA E-MAIL, I/WE CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND AUTHORIZE PEOPLE'S FUEL AND TRUCKING INC. TO OBTAIN ANY CREDIT INFORMATION WHICH IT CONSIDERS NECESSARY TO EVALUATE MY/OUR CREDIT APPLICATION.
I UNDERSTAND THAT A LATE PAYMENT FINANCE CHARGE OF 1.5% PER MONTH WILL BE ADDED ON ANY BALANCE 30 DAYS OR MORE PAST DUE (ANNUAL PERCENTAGE RATE IS 18%). THE LATE CHARGE IS COMPUTED AND ACCUMULATED DAILY ON THE MONTHLY RATE DIVIDED BY 30 DAYS. AND, UNDERSIGNED AGREES TO PAY, IN THE EVENT OF DEFAULT, ALL REASONABLE ATTORNEY'S FEES AND COSTS AND EXPENSES OF COLLECTION OF THIS ACCOUNT AND AMOUNTS DUE HEREUNDER. UNDERSIGNED CONSENTS TO THE JURISDICTION OF MASSACHUSETTS COURTS FOR ALL ACTIONS INSTITUTED HEREUNDER AND AGREES THAT MASSACHUSETTS LAW SHALL GOVERN.
PERSON SUBMITTING:
