Business Credit Application printable pdf download

BUSINESS CREDIT APPLICATION

Return via fax to: (901) 495-8470

AutoZone Store# _______________ Acct#_______________

Credit Line Requested_______________ Credit Line Approved_____________

Acct Type Requested:

(please check)

COD

Weekly

Monthly - Pay Balance Due

Monthly - Pay By Invoice

Do you have an existing account with AutoZone?

Yes

Account#______________________________________________________________

Legal Business Name_________________________________________ ___________ DBA / Trade Name_____________________________________________

Shipping Address______________________________________________________________________________________________________________________

Street

City

State

Zip

Phone#_____________________________ Fax#____________________________ A/P Contact_____________________________________________________

Email _______________________________________ Fed Tax ID#___________________Tax Exempt

Yes

No (if yes ID#)__________________________

(please check)

Date Business Commenced_________________________________ D&B# (if known)________________________PO Required

Yes

Type of Business:

(please check)

Sole Proprietor

Partnership

Limited Liability Company

Corporation

Other_____________________________

(please check)

Business Description:

Auto Parts

Car Care Center

Car Dealership-New

Car Dealership-Used

Collision

Construction

Farmer

Fleet Owner

Garage-Service Station

Government Agency

Detail Shop

Lube Shop

Muffler-Brake

Mass Merchandiser

Repair Shop

Tire Shop

Tow Service

Transmission

Other

Business and Credit Information

Billing Business Address________________________________________________________________________________________________________________

Street

City

State

Zip

Phone#______________________ Fax#_________________________ Time at Current Address_____________________________________________________

Bank Name___________________________________________ Phone#_________________________________________________________________________

Bank Address_________________________________________________________________________________________________________________________

Street

City

State

Zip

Checking Acct#_________________________________________________ Savings Acct#__________________________________________________________

Trade References

(1)

____________________________________________________________________________________________________________________________________

Name

Street

City

State

Zip

____________________________________________________________________________________________________________________________________

Phone#

Fax#

Contact

(2)

____________________________________________________________________________________________________________________________________

Name

Street

City

State

Zip

____________________________________________________________________________________________________________________________________

Phone#

Fax#

Contact

Agreement

For valuable consideration, the receipt of which is acknowledged, including but not limited to the extension of credit by AutoZone to _____________________________________

(the “Applicant”), the undersigned, individually, jointly and severally (the “Guarantor”), unconditionally guarantees to AutoZone the full and prompt payment by Applicant of all

obligations which Applicant presently or hereafter may have to AutoZone and payment when due of all sums presently or hereafter owning by Applicant to AutoZone. Guarantor

agrees to indemnify AutoZone against any losses AutoZone may sustain and expenses AutoZone may incur as a result of any failure of Applicant to perform including reasonable

attorney’s fees and all costs and other expenses incurred in collecting or compromising any indebtedness of Applicant guaranteed hereunder or in enforcing this guarantee against

Guarantor. This shall be a continuing guarantee. Diligence, Demand, Protest or notice of any kind is waived. It shall remain in full force until Guarantor delivers to AutoZone

written notice revoking it as to indebtedness incurred subsequent to such delivery. Such delivery shall not affect any of Guarantor’s obligations hereunder with respect to

indebtedness incurred prior thereto. The undersigned Guarantor hereby consents to AutoZone’s use of a non-business consumer credit report on the undersigned as principal(s),

proprietor(s) and/or guarantor(s) in connection with the extension of business credit as contemplated by this credit application. The undersigned Guarantor hereby authorizes

AutoZone to utilize a consumer credit report on the undersigned from time to time in connection with the extension or continuation of the business credit represented by this credit

application. The undersigned Guarantor as (an) individual(s) hereby knowingly consent(s) to the use of such credit report consistent with the Federal Fair Credit Reporting Act as

contained in 15

U.S.C.@1681

et seq.

_________________________________________________________________________________________________________________________________

Full Name

Date of Birth

SSN#

Phone#

_____________________________________________________________________________

__________________________________________________

Home Address

City

State

Zip

Signature

Date

NOTICE TO THE CUSTOMER: (1) Do not sign this application and agreement before you read it. (2) You are entitled to a completely filled in copy of this agreement. Keep this

agreement to protect your legal rights. (3) Any person signing this application and agreement represents that it is a valid business entity in good standing, a qualified religious,

educational, or other non profit entity, or a government agency or instrumentality. All purchases under this agreement shall be made for other than personal, family, agricultural

or household use. Customer has duly authorized the execution of this application and the person signing below to execute this application on his behalf.

Ohio residents: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies

maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Applicant agrees to be bound by the terms and conditions of this Application (including federal and state notices) and the terms and conditions of the AutoZone Commercial

Account Agreement (“Agreement”), which is incorporated into and made a part of this Application. The person signing below must be a representative of the Applicant who is duly

authorized to enter into contractual agreements on behalf of Applicant and agrees that there is no binding contract with AutoZone until Applicant’s credit is approved. AutoZone

may require the execution of one or more security instruments upon request. Applicant will be contacted if such is required. AutoZone may require additional information from

Applicant, Guarantor, or other parties in order to process this Application. By signing below, Applicant, Guarantor, and (except with respect to government agencies and not-for-

profit) each individual signing on behalf of Applicant authorizes AutoZone to provide credit information relating to any or all of them to third parties, including credit bureaus and

affiliates of AutoZone and releases AutoZone from any claims arising out of the conduct authorized above. By signing below, Applicant acknowledges that Applicant has

read and received a copy of this Application and the attached Agreement and also, by signing this agreement, Applicant, Guarantor, and any other parties agree

to pay legal fees and or collection fees that occur as a result of default on the Account.

_____________________________________ _____________________________________________________________________________________________

Printed Name

Signature

Title

Date