DAVIS LUMBER COMPANY APPLICATION FOR CREDIT CONSUMER ACCOUNT NAME:

DATE:

ADDRESS: CITY:

STATE:

HOME PHONE:

CELL:

E-MAIL:

SS#:

AGE:

MARITAL STATUS:

ZIP CODE:

MARRIED ☐

SPOUSE’S NAME:

SPOUSE’S SS#:

HOW LONG AT PRESENT ADDRESS?

OWN:

PREVIOUS ADDRESS IF LESS THAN 2 YRS:

HOW LONG?

☐

SINGLE ☐

RENT:

WIDOWED ☐

☐

NAME OF NEAREST RELATIVE NOT LIVING WITH YOU: ADDRESS:

RELATIONSHIP:

CITY:

STATE:

ZIP CODE:

EMPLOYMENT HISTORY EMPLOYER:

JOB TITLE:

ADDRESS:

SUPERVISOR:

CITY:

STATE:

ZIP:

SALARY:

PHONE:

DATE FROM:

DATE TO:

EMPLOYER:

JOB TITLE:

ADDRESS:

SUPERVISOR:

CITY:

STATE:

ZIP:

SALARY:

PHONE:

DATE FROM:

DATE TO:

SPOUSE’S EMPLOYER:

JOB TITLE:

ADDRESS:

SUPERVISOR:

CITY:

STATE:

ZIP:

PHONE:

DATE FROM:

SALARY:

DATE TO:

REFERENCES AND DEBTS NAME & ADDRESS

PURPOSE

ACCT #

DATE OPENED

PRESENT BALANCE

MONTHLY PAYMENTS

AMOUNT PAST DUE

MORTGAGE AUTO CHECKING SAVINGS

★★★★★ CREDIT TERMS AND POLICY ★★★★★ 1.

ALL CHARGES ARE DUE THE 10TH OF THE MONTH FOLLOWING DATE OF PURCHASE.

2.

ALL PAST DUE ACCOUNTS WILL BE CHARGED THE HIGHEST INTEREST RATE PERMITTED BY LAW OR A $2.00 MINIMUM CHARGE, WHICHEVER IS GREATER.

3.

SELLER MAY, AT HIS OPTION, SUSPEND CREDIT AND REFUSE ANY FURTHUR PURCHASES AS LONG AS ANY PART OF THE ACCOUNT REMAINS PAST DUE.

4.

APPLICANTS AGREE TO PAY REASONABLE ATTORNEY FEES, ALL COURT COSTS AND DISBURSEMENTS NECESSARY TO COLLECT ANY BALANCE DUE ON THIS ACCOUNT.

5.

APPLICANT AUTHORIZES DAVIS LUMBER COMPANY TO CONDUCT A CREDIT INVESTIGATION AND OBTAIN CREDIT REPORTS IN CONNECTION WITH THIS REQUEST FOR CREDIT.

SIGNATURE SIGNATURE:

DATE: CREDIT DEPT. USE ONLY

APPLICATION TAKEN BY:

CREDIT RATING:

SALESMAN:

CUSTOMER #:

DATE:

APPROVED BY: