Below is an online copy of our Application for Credit Account and Personal Guarantee. Please complete the form completely. After reading the terms below click the submit button. Your Application for Credit will be sent directly to us. We will contact you to inform you of the state of your application.
Date:
Company Information
Name:
Business Name:
Street Address:
City, County, State Zip:
,
,
Billing Address:
City, State Zip:
,
Phone:
Fax:
Business Information
Nature of Business:
Years in Existence:
Type of Ownership:
Federal ID#:
Year of Incorporation:
State of Incorporation:
Special Account Information
Credit Line Requested:
A/P Contact:
Phone:
Purchase Orders Used:
Authorized Purchasers:
Principal Owners or Officers
President, SSN#:
,
Full Address:
Phone:
Vice President, SSN#:
,
Full Address:
Phone:
Bank References
Principal Bank:
Full Address:
Contact:
Account Number:
Phone:
Trade References
Company #1:
Address:
City, State Zip:
,
Number of Years:
Company #2:
Address:
City, State Zip:
,
Number of Years:
Company #3:
Address:
City, State Zip:
,
Number of Years:
Sole Proprietorship/Uninicorporated or Personal Guarantee
Your Personal Bank:
Your SSN:
Spouse's Name:
Your Address:
City, State Zip:
,
Your Previous Address:
City, State Zip:
,
Please read this notice before pressing a button
TERMS, Net 30 from date of invoice. This form is for the purpose of establishing a credit line with Taylor Rental. I hereby authorize the above named bank and/or trade references to furnish the requested account/credit information.
Personal Guarantee: I, the undersigned, hereby personally guarantee payment for the purchases made by the above applicant in the event the company should default on payment, including rent, repairs, interest, finance charges, and attorney's fees.
Contact Us: Phone (352)629-7936 ˇ Fax (352)629-0189
E-mail: gsmith3894@cox.net ˇ rentalman441@prodigy.net
