Tiger Fuel ☷ Credit Commercial Application

Dear Prospective Customer,

Thank you for your interest in establishing an account with Tiger Fuel Company. Our charge account privileges may be extended to qualified customers upon completion of the following credit application. Please complete all sections of the following forms:

1) Application
2) Personal Financial Statement
3) Guaranty

In addition, our payment terms are as follows:

• Net payment is expected within 30 days of delivery date.
• No credit card payments accepted on commercial or Tiger Card accounts.
• A 2% service charge will be applied to the outstanding balance after 30 days.
• Accounts can be subject to collection procedures after 60 days past due, which may include holding deliveries as well as legal action.

In order to expedite the processing of this application, please complete all sections.

If you have questions or concerns about the credit application, you may contact our Credit Department at .

Thank you and we look forward to your business.

Sincerely,
Credit Department
Tiger Fuel Company

Name (as reported on Tax Return)

Name of Business

Billing Address

City

State

Zip

Telephone#

Fax#

Email Address

Shipping Address Same as Billing

Shipping Address

City

State

Zip

Years in Business

Fed Tax ID#

Type of Ownership

Type of Business

Accounts Payable Contact Name

Accounts Payable Contact Email

Corporate Officiers, Partners or Individual

Name

Title

Date of Birth

Home Address

City

State

Zip

Telephone#

Name

Title

Date of Birth

Home Address

City

State

Zip

Telephone#

Banking Information

Bank Name

Telephone#

Contact Name

Contact Email

Address

City

State

Zip

Trade References

Name

Telephone#

Email Address

Address

City

State

Zip

Name

Telephone#

Email Address

Address

City

State

Zip

Do you pay sales tax? if no, please submit the appropriate state approved certificate.
Supported: PDF, jpg, jpeg, png
According to state law, we are liable to charge and collect tax unless the state approved form is submitted.

What products are you primarily interested in? Terms of Sale: All sales shall be final. Terms of payment shall be as specified in the sales contract or by our Credit Manager but in no event shall be greater than 30 days. Interest at the rate of 24% per annum shall be charged on all past due balances. Where a past due account is placed with an attorney for collection, customer agrees that 25% of the outstanding balance placed for collection shall be assessed as a reasonable attorney's fee. Applicant promises to keep Tiger Fuel Company fully informed of any changes of address or status in advance of any such change.
Permission is granted as evidence by my (our) signature(s) below, for Tiger Fuel Company or its agents to contact the references listed hereon, or any other source for the purpose of obtaining credit information. The creditor, bank, or lending institution contacted has my (our) permission to furnish Tiger Fuel Company with any and all information requested.

Applicant Name

Date

Applicant Signature

Co-Applicant Name

Date

Co-Applicant Signature

Personal Financial Statement

Please select how you will send your Personal Financial Statement

SECTION 1 - APPLICANT INFORMATION

Name

Date of Birth

Physical Address

City, State, Zip

Employer

Number of Years Employed

Position/Occupation

Business Phone

Home Phone

Nearest relative not living with

Relationship

Address

SECTION 2 - CO APPLICANT INFORMATION

Name

Date of Birth

Physical Address

City, State, Zip

Employer

Number of Years Employed

Position/Occupation

Business Phone

Home Phone

Nearest relative not living with

Relationship

Address

SECTION 3 - STATEMENT OF FINANCIAL CONDITION AS OF

Indicate "A" (Applicant, "C" (Co-applicant) or "J" (Jointly held w/others) beside assets and liabilities to indicate to whom applies

Assets	A,C,J	$ Amount	Liabilities	A,C,J	$ Amount
Cash on hand & in banks-Schedule A			Notes payable to banks - secured- Schedule E
IRAs 401K & Retirement Assets			Notes payable to banks -unsecured- Schedule E
Marketable Securities -Schedule B			Due to brokers - margin loans - Schedule E
Securities held by broker in margin accts			Amounts payable to others - secured
Restricted or Control Stocks			Credit Cards - Schedule E
Real Estate Owned - Schedule C			Equity Lines - Schedule E
Cash value-life insurance-Schedule D			Unpaid Taxes (Income, Property, Etc.)
Loans Receivable			Real estate mortgages payable - Schedule C
Automobiles and other personal property




			TOTAL LIABILITIES
			NET WORTH
TOTAL ASSETS			TOTAL LIABILITIES & NET WORTH
Income for year end	Applicant	Co-Applicant	Expenses
Salary			Rent Payment
Bonuses & Commissions			Alimony
Interest & Dividends			Child Support
Rental Income			Tuition
Other Income (Alimony or child support)			PERSONAL INFORMATION (Applicant & Co)
TOTAL INCOME			Are you a US Citizen?
CONTIGENT LIABILITIES If so, describe:			Do you have a will?	If so, name Executor
As: On			Are you a partner or officer in any other venture?	If so, describe:
Legal Claims			Income Tax Settled through
Other Special Debt			Are any assets pledge other than described on Schedules?
Amount of contested income tax liens			If so, describe:
			Are you a defendant in any suite or legal actions?
			If so, describe:
			Have you or the business filed bankruptcy?
SCHEDULE A - CASH AND INVESTMENTS
Type of Account	Name of Bank or Broker		In Name Of	Are these Pledged?	Current Balance




SCHEDULE B - MARKETABLE SECURITIES
Number of Shares	Description		In Name Of	Are these Pledged?	Date of Value & Amount




SCHEDULE C - REAL ESTATE OWNED
Address of Property	Property description Type: Commercial (C), Residential(R), Agriculture (A) Use: Office, warehouse, home, lot Size: Square Footage		Cost	Date Acquired	Current Market Value




Lender Name	Title in Name of	Mortgage Balance	Monthly Payment	Monthly Rental Income	Ownership Percentage




SCHEDULE D - LIFE INSURANCE CARRIED, INCLUDING WHOLE LIFE & GROUP INSURANCE
Name of Company	Owner of Policy	Beneficiary	Face Amount	Policy Loans	Cash Surrender Value


SCHEDULE E - BANKS OR FINANCE COMPANIES WHERE CREDIT HAS BEEN OBTAINED
Name of Lender	Collateral Description	Type (Line of Credit, Term loan)	Maximum Line Amount	Monthly Payment	Current Balance	Maturity

Each of the undersigned understand that Tiger Fuel Company will retain this Personal Financial Statement. Each of the undersigned hereby authorize Tiger Fuel to verify at any time any information submitted to them by or on behalf of the undersigned; obtain further information concerning the credit standing of the undersigned, including without limitation, credit and employment history; and exchange credit information.

Applicant Name

Date

Applicant Signature

Co-Applicant Name

Date

Co-Applicant Signature

Unconditional Guaranty

Tiger Fuel Company

The UNDERSIGNED (who if two or more in number, shall be jointly and severally liable hereunder), in order to induce Tiger Fuel Company ("Tiger") to extend credit to ("Customer") does hereby absolutely and unconditionally guarantee full and punctual payment and satisfaction of all sums due and owing Tiger Fuel Company ("Indebtedness") by Customer and any renewal or extension thereof, including attorneys fees in the event of default equal to twenty-five percent (25%) of the unpaid principal and interest, and all costs of the court. This is a guaranty of payment and performance and not of collection, so Tiger can enforce this Guaranty against the undersigned even when Tiger has not exhausted Tiger's remedies against anyone else obligated to pay the Indebtedness or against any collateral securing the Indebtedness, this Guaranty or any other guaranty of the Indebtedness. The word "indebtedness" as used in this Guaranty includes but is not limited to any and all debts, liabilities and obligations of every nature or form, that customer individually or collectively or interchangeably with others, owes or will owe Tiger. The undersigned also agree(s) that Tiger may from time to time extend or renew terms of credit on the account and may grant any releases, compromises, or indulgences with respect to any indebtedness arising under the terms of the account, or any extension or renewal thereof, or to any party liable thereunder or hereunder, all without notice to or consent of the undersigned and other personal guarantors and without first or contemporaneously suing such other persons, or otherwise seeking or proceeding to collect from them. The undersigned further agree(s) the failure or refusal of Tiger to exercise any of its legal rights or remedies for collection of such sums due and owing shall not result in any discharge of their obligations under this guaranty.

This is a "Continuing Guarantee" under which the undersigned agrees to guarantee the full and punctual payment, performance and satisfaction of the indebtedness to Tiger, now existing or hereafter arising or acquired, on a continuing basis. Accordingly, any payments made on the indebtedness will not discharge or diminish guarantor's obligations and liability under this guaranty for any remaining and succeeding indebtedness even when all or part of the outstanding indebtedness may be a zero balance from time to time.

This Guaranty will take effect when received by Tiger without the necessity of any acceptance by Tiger, or any notice to Guarantor, and will continue in full force until all the Indebtedness incurred or contracted shall have been fully and finally paid and satisfied and all of Guarantor's other obligations under this Guaranty shall have been performed in full. This Guaranty shall bind Guarantor's estate as to the Indebtedness created both before and after Guarantor's death or incapacity, regardless of Tiger's actual notice of Guarantor's death.

This Guaranty constitutes the entire understanding and agreement of the parties as to the matters set forth in this Guaranty. No alteration of or amendment to this Guaranty shall be effective unless given in writing and signed by the party or parties sought to be charged or bound by the alteration or amendment.

If there is a lawsuit, Guarantor agrees upon Tiger's request to submit to the jurisdiction of the applicable courts for the City of Charlottesville, Commonwealth of Virginia. Given under the hand and seal of each of the undersigned;

Name

Date

Signature Of Guarantor

Name

Date

Signature Of Guarantor