Credit application

Customer credit application

Secure application

Federal tax ID is required. Proprietorships may enter a Social Security number. Do not enter bank account or routing numbers.

Credit / 01

Business contact, credit details, and guarantee

Required fields are marked *

Business contact information

Last * First * Middle initial Title * Name of business * Address * City * State * ZIP * Phone * Business accounts payable / invoices email *

Business and credit information

Type of business * In business since *

Legal form under which business operates *

Corporation Partnership Proprietorship

If division/subsidiary, name of parent company Parent company in business since Company principal responsible for business transactions * Principal title * Principal address * City * State * ZIP * Phone * Bank name * Bank title Bank address * City * State * ZIP * Phone * Federal tax ID # or Social Security # if a proprietorship * Estimated volume of yards over the next 12 months *

Trade references

Reference 1

Company name * Email for credit reference * Address * Phone * Account opened since * Credit limit * Current balance *

Reference 2

Company name * Email for credit reference * Address * Phone * Account opened since * Credit limit * Current balance *

Credit application agreement and personal guarantee

Certification

I hereby certify that all information provided in this application is true, complete, and accurate. I understand that this information will be used to determine credit eligibility and terms. I authorize Potros Concrete LLC to verify the information provided and to obtain additional information from financial institutions, trade references, and other sources as needed.

Credit terms and conditions

All invoices are due and payable according to the stated terms from the invoice date.
Any discrepancies or claims related to invoices must be reported within seven (7) working days.
Potros Concrete LLC is authorized to contact all banking and trade references listed in this application.
Credit limits and terms are subject to change or withdrawal at any time at the sole discretion of Potros Concrete LLC.

Payment and collection

All payments shall be made to Potros Concrete LLC, 12408 State Hwy 205, Lavon, TX 75166.

Past-due balances may be subject to a 1.5% monthly interest charge, or the maximum rate permitted by law, whichever is lower.

Potros Concrete LLC reserves the right to waive or reduce late payment interest charges on a case-by-case basis, depending on the circumstances and payment history of the customer. Any waiver must be approved by Potros Concrete LLC and does not waive the company's right to assess interest on future late payments.

The applicant agrees to pay all reasonable collection costs, including attorney's fees, court costs, and related expenses incurred by Potros Concrete LLC in recovering outstanding balances.

Legal terms

This agreement shall be governed by the laws of the State of Texas. Venue for any disputes arising under this agreement shall be in Collin County, Texas.

The applicant represents that all goods purchased are for business or commercial use only, not for personal, family, household, or agricultural purposes.

Personal guarantee

In consideration of credit being extended, I/we personally and unconditionally guarantee the full and prompt payment of all amounts owed. This guarantee is continuing and shall remain in effect regardless of any changes to account terms, including extensions or renewals.

I/we waive notice of default and agree to pay all outstanding balances within five (5) days of notice that the account is past due.

Authorization

I represent and warrant that I have the authority to bind the applicant/business to this agreement and authorize the release of credit and financial information necessary to establish and maintain a credit account.

I certify that all information provided in this application is true, complete, and accurate, and I authorize Potros Concrete LLC to verify it. * I agree to the credit terms, payment and collection terms, and Texas / Collin County legal terms. * I personally and unconditionally guarantee full and prompt payment of all amounts owed. * I have authority to bind the applicant/business and authorize the release of credit and financial information. *

Authorized signature

Typing your name records your electronic acknowledgement of the credit application agreement and personal guarantee. It does not independently verify your identity or guarantee account approval.

Applicant name * Authorized signature * Printed name and title * Date *