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Please check for a cash only account
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Do you claim State Sales Tax Exemption?
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If yes, a signed copy of a State Sales Tax Exemption Certificate must be attached
Would you like your charges/transactions emailed after each purchase?
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List of names permitted to charge on account
Has your company or any of the principals ever filed for bankruptcy?
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Have you or your company ever had judgements or liens placed against you?
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If yes, please detail;
I, OR WE, DO HEREBY AGREE TO THE FOLLOWING TERMS AND GUARANTEES:
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I, OR WE, DO HEREBY AGREE TO THE FOLLOWING TERMS AND GUARANTEES:
A monthly statement will be issued to each customer after the last business day of each month. The statement will show a listing of debits and credits for the current month and an aging of past due balances. The following terms apply to payment of our statements:
1. Piscitello’s Home Center will not accept any form of payment which contains any limitations or conditions on payment such as short paid checks noted as representing payment in full of a disputed balance.
2. Failure to pay a statement’s amount due on or before the last business day of the month will result in a charge of 2% on all outstanding balances as well as current orders being held. Failure to pay promptly will further result in the customer’s credit account being held/canceled.
3. By signing this application, you agree to allow Piscitello’s Home Center to verify your bank and business references.
4. In the event that it is necessary for Piscitello’s Home Center to institute legal action in order to collect any delinquent balance, the customer shall be responsible for all reasonable costs of collection including attorney’s fees.
5. You agree that any person signing this application on your behalf has the actual authority to do so, and to bind you to the terms and conditions listed above
Authorized Signature
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Print Name
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Company Name
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Date
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I, we, or all of us hereby
I, we, or all of us hereby agree as guarantors, the guarantee and to be responsible and liable to pay Pisci’s Inc., DBA Piscitello’s Home Center for any and all indebtedness now or hereinafter owing to Piscitello’s Home Center by the above named individual, partnership, or corporation. I, we, or all of us further agree that without notice, said indebtedness or credit may be changed in form and terms of payment and the same shall be covered with this guarantee, and that no change of partnership or ownership shall affect this guarantee, until Piscitello’s Home Center is notified in writing of the intent to no longer be held as guarantors of future purchases.
Guarantor’s Signature
*
Print Name
*
Date
*
Personal Guarantee
I, we, or all of us hereby (copy)
I, we, or all of us hereby agree as guarantors, the guarantee and to be responsible and liable to pay Pisci’s Inc., DBA Piscitello’s Home Center for any and all indebtedness now or hereinafter owing to Piscitello’s Home Center by the above named individual, partnership, or corporation. I, we, or all of us further agree that without notice, said indebtedness or credit may be changed in form and terms of payment and the same shall be covered with this guarantee, and that no change of partnership or ownership shall affect this guarantee, until Piscitello’s Home Center is notified in writing of the intent to no longer be held as guarantors of future purchases
Guarantor’s Signature (copy)
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Print Name (copy)
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Date (copy)
*
Guarantor’s Signature (copy) (copy)
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Print Name (copy) (copy)
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Date (copy) (copy)
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