CREDIT APPLICATION - United Builders Supply

CREDIT APPLICATION
Mail to: United Builders Supply Co., Inc or Fax to: (401) 596-5233
P.O. BOX 1728
Attention: Diane Chapman
30 Oak St.
Westerly, RI 02891
UBS OFFICE USE:
ACCOUNT NO. _____________________
APPROVED BY: __________________
AMT. APPROVED: _$_______________
SALES NAME & #: __________________
PLEASE ANSWER ALL APPLICABLE QUESTIONS. ATTACH A SEPARATE SHEET IF NECESSARY TO PROVIDE ADDITIONAL INFORMATION OR REFERENCES.
ESTIMATED MONTHLY COST: $ CREDIT AMOUNT REQUESTING (project cost): $
APPLICANT: SOCIAL SECURITY #:
MAIN PHONE (OTHER THAN CELL): DRIVERS LICENSE STATE AND #:
CELL PHONE #: FAX # E-MAIL:
MAILING ADDRESS:
STREET CITY STATE ZIP
RESIDENCE ADDRESS:
STREET CITY STATE ZIP
PROPERTY ADDRESS OF PROJECT:
PROPERTY TITLE HOLDER:
STREET CITY STATE ZIP
UBS SALES CONTACT:
OWNERS OF BUSINESS OR OFFICERS OF CORPORATION OR LLC
NAME: ADDRESS: TITLE:
STREET CITY STATE ZIP
NAME: ADDRESS: TITLE:
STREET CITY STATE ZIP
HAVE YOU OR A COMPANY THAT YOU HAVE OR HAD A FINANCIAL INTEREST IN, FILED FOR BANKRUPTCY IN THE LAST SEVEN YEARS?
IF YES EXPLAIN:
HAS ANY CORPORATION IN WHICH YOU ARE OR WERE AN OFFICER OR DIRECTOR FILED FOR BANKRUPTCY IN THE LAST SEVEN YEARS?
IF YES EXPLAIN:
TRADE REFERENCES
TRADE NAME: PHONE #:
ADDRESS:
FAX:
TRADE NAME: PHONE #:
ADDRESS:
TRADE NAME:
ADDRESS:
TRADE NAME:
ADDRESS:
FAX:
PHONE:
FAX:
PHONE:
FAX:
FINANCIAL INFORMATION
NAME & LOCATION OF LENDER:
CONTACT & PHONE NUMBER:
ORIGINAL AMOUNT OF CONSTRUCTION LOAN: $ CURRENT BALANCE OF FUNDS AVAILABLE: $

TERMS & CONDITIONS
ALL CHARGE PURCHASES MUST BE PAID IN FULL BY THE 20 th OF THE MONTH FOLLOWING STATEMENT DATE. UNITED BUILDERS SUPPLY CO., INC. OFFERS
NO OTHER PLAN. 2% TEN DAYS – NET 30 DAYS.
FINANCE CHARGE: ACCOUNTS ARE DUE AND PAYABLE IN FULL UPON PRESENTATION OF UNITED BUILDERS SUPPLY CO., INC. STATEMENT. ACCOUNTS
NOT PAID IN FULL BY THE 20 th OF THE MONTH FOLLOWING STATEMENT DATE WILL BE SUBJECT TO A FINANCE CHARGE OF 1.5 % PER
MONTH (18% ANNUAL PERCENTAGE RATE) ON THE “PREVIOUS BALANCE” OF YOUR ACCOUNT.
WE FIGURE THE FINANCE CHARGE ON YOUR ACCOUNT BY APPLYING THE PERIODIC RATE TO THE “PREVIOUS BALANCE” OF YOUR
ACCOUNT. WE GET THE “PREVIOUS BALANCE” BY TAKING THE BALANCE YOU OWED AT THE END OF THE PREVIOUS BILLING CYCLE
AND SUBTRACTING ANY PAYMENTS AND CREDITS RECEIVED DURING THE PRESENT BILLING CYCLE.
THE FINANCE CHARGE IS AVOIDED WHEN THE NEW BALANCE IS PAID IN FULL AND RECEIVED BY THE 20 th OF THE MONTH FOLLOWING
STATEMENT DATE.
COLLECTION COSTS: SHOULD IT BECOME NECESSARY TO PLACE ACCOUNT FOR COLLECTION, I/WE AGREE TO PAY ALL COSTS THERE OF INCLUDING BUT
NOT LIMITED TO ATTORNEY FEES AND COSTS.
RETURNED CHECKS: ANY CHECK RETURNED TO US FROM OUR BANK FOR ANY REASON SUCH AS INSUFFICIENT FUNDS, UNCOLLECTED FUNDS, NO
SIGNATURE, ETC. WILL INCUR A $25.00 CHARGE
LIEN RIGHTS: UNITED BUILDERS SUPPLY CO., INC RESERVES THE RIGHT TO ACQUIRE A MECHANICS LIEN AND/OR FILE A NOTICE OF INTENT TO LIEN TO
SECURE PAYMENT FOR MATERIAL NOT PAID IN ACCORDANCE WITH UBS TERMS AND CONDITIONS.
CLAIMS:
CLAIMS FOR ANY DEFECTIVE MERCHANDISE SOLD HEREUNDER MUST BE MADE WITHIN 10 DAYS AFTER DELIVERY, AND THE MERCHANDISE MUST BE HELD
INTACT FOR INSPECTION BY SELLER. A SHORTAGE CLAIM MUST BE MADE AT THE TIME OF DELIVERY.
RETURNED MERCHANDISE:
ALL GOODS RETURNED FOR CREDIT MUST BE RESALABLE. NO CREDIT WILL BE ISSUED FOR GOODS IN POOR CONDITION NOR WILL CREDITS BE
ISSUED WITHOUT RECEIPT OF PURCHASE FROM UNITED BUILDERS SUPPLY CO., INC.
RETURNED REGULAR INVENTORY ITEMS MAY BE ACCEPTED UP TO 30 DAYS AFTER DELIVERY BUT WILL BE CHARGED A 15% HANDLING CHARGE
FOR DOUBLE HANDLING, RE-STOCKING GOODS BACK TO INVENTORY AND PROCESSING PAPERWORK. RETURNED SPECIAL ORDERED ITEMS
MAY BE ACCEPTED UP TO 7 DAYS AFTER WITH A 33% HANDLING CHARGE; SOME SPECIAL ORDERED ITEMS MAY NOT BE ACCEPTED.
NO RETURNS WILL BE PERMITTED ON GOODS OUT OF THEIR ORIGINAL PACKAGING SUCH AS BILCO DOORS, COMBINATION DOORS, ETC. WHEN
YOU CUT THE BANDS YOU OWN IT.
SELLER DOES NOT GUARANTEE RETURN TRANSPORTATION FOR NON-DEFECTIVE MERCHANDISE
BOARDS ARE GRADED BY GOVERNING AGENCIES. ANY SELECTING, CHERRY PICKING, WILL BE SUBJECT TO A 33% MINIMUM RESTOCKING
CHARGE (PENALTY) UPON RETURN
BOARDS AND INTERIOR ITEMS SUBJECTED TO THE WEATHER ARE NOT SUITABLE FOR RETURN. NO RETURNS WILL BE ACCEPTED ON
SHEETROCK, BAGGED GOODS SUCH AS CEMENT, PLASTER, ETC.
SPECIFIED LENGTHS MAY BE SUBJECT TO A 15% “SPECIFIED LENGTH” UPCHARGE UPON EITHER THE ORIGINAL PURCHASE OR THE RETURNED
PORTION AT OUR DISCRETION.
CANCELLED ORDERS: CANCELLED GOODS ARE SUBJECT TO A 15-33% CANCELLATION CHARGE.
BILLING RIGHTS SUMMARY: IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL:
IF YOU THINK YOUR BILL IS WRONG, OR IF YOU NEED MORE INFORMATION ABOUT A TRANSACTION ON YOUR BILL, WRITE US ON A SEPARATE
SHEET AT: 30 OAK ST., P.O. BOX 1728, WESTERLY, RI 02891 AS SOON AS POSSIBLE. WE MUST HEAR FROM YOU NO LATER THAN 60 DAYS AFTER
WE SENT YOU THE FIRST BILL ON WHICH THE ERROR OR PROBLEM APPEARED. YOU MAY TELEPHONE US, BUT DOING SO WILL NOT PRESERVE
YOUR RIGHTS.
IN YOUR LETTER GIVE US THE FOLLOWING INFORMATION: YOUR NAME AND ACCOUNT NUMBER. THE DOLLAR AMOUNT OF THE SUSPECTED
ERROR. DESCRIBE THE ERROR AND EXPLAIN, IF YOU CAN, WHY YOU BELIEVE THERE IS AN ERROR. IF YOU NEED MORE INFORMATION,
DESCRIBE THE ITEM YOU ARE UNSURE ABOUT. YOU DO NOT HAVE TO PAY THE AMOUNT IN QUESTION WHILE WE ARE INVESTIGATING, BUT YOU
ARE STILL REQUIRED TO PAY THE PARTS OF YOUR BILL THAT ARE NOT IN QUESTION. WHILE WE INVESTIGATE YOUR QUESTION, WE CANNOT
REPORT YOU AS DELINQUENT OR TAKE ANY ACTION TO COLLECT THE AMOUNT IN QUESTION.
I / WE AGREE TO THE TERMS AND CONDITIONS LISTED ABOVE
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SIGNATURE OF APPLICANT OR OFFICER OF CORPORATION PRINT NAME & TITLE DATE
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SIGNATURE OF SPOUSE OR BUSINESS PARTNER PRINT NAME & TITLE DATE
IF THE ABOVE IS A CORPORATION OR LLC, I PERSONALLY GUARANTEE THAT THE ACCOUNT WILL BE PAID IN FULL
SIGNATURE OF OFFICER OF CORPORATION / MANAGER OF LLC PRINT NAME & TITLE DATE