Credit Application

  • FACADESXi Credit Application

    Dear customer,
    Thank you for your business. Please complete the following credit Application form in its entirety.
    Our terms are net 30 days.
    If you have any questions, please do not hesitate to call us at the Number listed below, or contact our sales manager, Joe Mcclaran, at 210-867-6991.
    Please return the enclosed documents to:
    FacadesXi
    15262 Capital Port
    San Antonio, TX 78249
    (210) 253-7783
    Thank you in advance for submitting these forms.
    Sincerely,

    FACADESXi Credit Application

    FacadesXi
    15262 Capital Port
    San Antonio, TX 78249
    DATE:
    05/10/2021

    SECTION A – APPLICANT INFORMATION

    Name:
    {Name (First):2.3}
    Present Address:
    {Address (Street Address):3.1}
    City:
    {Address (City):3.3}
    State:
    {Address (State / Province):3.4}
    Zip:
    {Address (ZIP / Postal Code):3.5}
    Years in Business:
    {Years in Business::4}
    Years at present location:
    {Years at present location::5}
    Present Mailing Address:
    {Address (Street Address):6.1}
    City:
    {Address (City):6.3}
    State:
    {Address (State / Province):6.4}
    Zip:
    {Address (ZIP / Postal Code):6.5}
    Business Telephone:
    {Business Telephone::7}
    Business Fax:
    {Business Fax::8}
    Accounts Payable Telephone:
    {Accounts Payable Telephone::9}
    Line of Business:
    {Line of Business::10}
    Accounts Payable Contact:
    {Accounts Payable Contact::11}
    Year of Incorporation:
    {Year of Incorporation::12}
    State of Incorporation:
    {State of Incorporation::13}
    Federal ID#:
    {Federal ID#::14}
    Tax Exemption Cert. #:
    {Tax Exemption Cert. #::15}
    LIST OF CORPORATE OFFICERS, PARTNERS, OWNERS:
    Name:
    {Name: (First):17.3}
    Title:
    {Title::18}
    Present Address:
    {Address (Street Address):19.1}
    Telephone:
    {Telephone::20}
    City:
    {Address (City):19.3}
    State:
    {Address (State / Province):19.4}
    Zip:
    {Address (ZIP / Postal Code):19.5}
    Name:
    {Name: (First):21.3}
    Title:
    {Title::22}
    Present Address:
    {Address (Street Address):23.1}
    Telephone:
    {Telephone::24}
    City:
    {Address (City):23.3}
    State:
    {Address (State / Province):23.4}
    Zip:
    {Address (ZIP / Postal Code):23.5}
    Name:
    {Name: (First):25.3}
    Title:
    {Title::26}
    Present Address:
    {Address (Street Address):27.1}
    Telephone:
    {Telephone::28}
    City:
    {Address (City):27.3}
    State:
    {Address (State / Province):27.4}
    Zip:
    {Address (ZIP / Postal Code):27.5}
    Name:
    {Name: (First):29.3}
    Title:
    {Title::30}
    Present Address:
    {Address (Street Address):31.1}
    Telephone:
    {Telephone::32}
    City:
    {Address (City):31.3}
    State:
    {Address (State / Province):31.4}
    Zip:
    {Address (ZIP / Postal Code):31.5}

    SECTION B – CREDIT REFERENCES – ALL LINES MUST BE COMPLETED

    (1)
    Bank Reference:
    {Bank Reference::34}
    Account Number:
    {Account Number::35}
    Address:
    {Address (Street Address):36.1}
    City:
    {Address (City):36.3}
    State:
    {Address (State / Province):36.4}
    Zip:
    {Address (ZIP / Postal Code):36.5}
    Account Officer:
    {Account Officer::37}
    Telephone Number:
    {Telephone Number::38}
    Loan Outstanding:
    {Loan Outstanding::39}
    Savings:
    {Savings::40}
    (2)
    Supplier Reference:
    {Supplier Reference::41}
    Account Number:
    {Account Number::42}
    Address:
    {Address (Street Address):43.1}
    Telephone Number:
    {Telephone Number::44}
    City:
    {Address (City):43.3}
    State:
    {Address (State / Province):43.4}
    Zip:
    {Address (ZIP / Postal Code):43.5}
    (3)
    Supplier Reference:
    {Supplier Reference::45}
    Account Number:
    {Account Number::46}
    Address:
    {Address (Street Address):47.1}
    Telephone Number:
    {Telephone Number::48}
    City:
    {Address (City):47.3}
    State:
    {Address (State / Province):47.4}
    Zip:
    {Address (ZIP / Postal Code):47.5}
    (4)
    Supplier Reference:
    {Supplier Reference::49}
    Account Number:
    {Account Number::50}
    Address:
    {Address (Street Address):51.1}
    Telephone Number:
    {Telephone Number::52}
    City:
    {Address (City):51.3}
    State:
    {Address (State / Province):51.4}
    Zip:
    {Address (ZIP / Postal Code):51.5}
    ATTACH A COPY OF YOUR LATEST FINANCIAL STATEMENT

    SECTION C – TAX EXEMPTION

    TAX EXEMPT {TAX EXEMPT:59} IF YES - EXEMPTION CERTIFICATE MUST BE COMPLETED AND ATTACHED.
    TAX WILL BE CHARGED ON ALL INVOICES UNLESS AN ACCEPTABLE TAX EXEMPTION CERTIFICATE IS RECEIVED.
    DEDUCTIONS FOR TAX WILL NOT BE ALLOWED WITHOUT AN ACCEPTABLE TAX EXEMPTION CERTIFICATE.

    SECTION D – PURCHASE REQUIREMENTS

    PURCHASE ORDER REQUIRED ON ALL PURCHASES: {PURCHASE ORDER REQUIRED ON ALL PURCHASES::61}
    IF YES – GOODS, PRODUCTS OR PARTS WILL NOT BE PROVIDED UNTIL A PURCHASE ORDER NUMBER IS RECEIVED.
    CREDIT LIMIT REQUESTED: $ {CREDIT LIMIT REQUESTED::63}
    AVERAGE MONTHLY PURCHASES: $ {AVERAGE MONTHLY PURCHASES::64}
    OTHER PURCHASE REQUIREMENTS: {OTHER PURCHASE REQUIREMENTS::65}

    SECTION E – OPEN-END ACCOUNT AGREEMENT

    FACADESXI, and its customer (Customer), whose name appears below, agree as follows:
    1)
    Extension of Credit: Customer asks FacadesXi to extend open-end credit for Customers account with FacadesXi for the purchase of goods and services and rental of equipment offered by FacadesXi. Customer will pay to FacadesXi at its address in San Antonio, Bexar County, Texas the amount of all credit extended to Customer through charges to Customers account by Customer or any person acting or purporting to act on Customer’s behalf, and all finance and other charges incurred.
    2)
    Terms: All invoices charged to an approved open account are due and payable within 30 days from invoice date or as otherwise shown on the invoice.
    3)
    Invoices: not paid within terms will be assessed a finance charge of 1.5% per month (18% per annum) on the unpaid invoice balance.
    4)
    Change of Address and Billing Inquiries: Customer will give prompt written notice to FacadesXi at 15262 Capital Port, San Antonio, Texas 78249, of change of a Customers address so that invoices may be delivered to Customers current address without delay. Any inquiries as to any invoice should be mailed to FacadesXi at the address listed above.
    5)
    Default and Collection Cost: If a default occurs, FacadesXi may (i) decline to extend further credit hereunder (and customer agrees not to make any further Credit Purchases), (ii) declare all debts of Customer to FacadesXi arising hereunder or otherwise to be immediately due and payable without notice or demand of any kind, and (iii) exercise any other rights of FacadesXi whether in law or in equity. “Default” means (a) failure of Customer to act in accordance with the terms of this agreement, (b) death, bankruptcy or insolvency of customer or (c) FacadesXi in good faith believes that the prospect of payment of performance of Customers obligations is impaired. Customer shall be liable for all collection costs actually incurred by FacadesXi and for reasonable attorneys’ fees in connection with the collection of Customers debt to FacadesXi.
    6)
    Limitations of Warranties: EXCEPT FOR ANY EXPRESS, WRITTEN WARRANTY PROVIDED TO CUSTOMER AND SIGNED BY A DULY AUTHORIZED REPRESENTATIVE OF FacadesXi. FacadesXi MAKES NO WARRANTIES OF ANY TYPE, EXPRESS OR IMPLIED, WITH REGARDS TO GOODS SOLD OR LEASED TO CUSTOMER BY FacadesXi, OR ANY SERVICES PROVIDED TO CUSTOMER BY FacadesXi INCLUDING, WITHOUT LIMITATION, ANY WARRANTY OF MERCHANTABILITY, FITNESS OR SUITABILITY FOR A PARTICULAR PURPOSE, DESIGN, CONDITION, CAPACITY, PERFORMANCE, OR QUALITY OF MATERIALS OR WORKMANSHIP.
    7)
    Severability: The invalidity or unenforceability of any provision of this agreement shall not affect the validity or enforceability of any other provision.
    8)
    Miscellaneous: This Agreement constitutes the entire agreement between the parties and supersedes all prior agreements between Customer and FacadesXi. As used herein, the singular number includes the plural. This Agreement is an Open-End Account as defined in Art. 5069-1.01(f) of the Revised Civil Statutes of Texas, but is not a transaction governed by Chapters 3, 4, 6, or 15 of the Texas Consumer Credit Code.
    9)
    Usury: FacadesXi and customer intend that this Agreement and any credit extended shall be in strict compliance with the applicable usury laws. If at any time any interest (including amounts deemed by law to be interest) contracted for, charged or received would be usurious under applicable law, then regardless of the provisions of this Agreement or any action or event, it is agreed that all sums that otherwise would be usurious shall be credited by FacadesXi as a payment of principal, or if the debt has already been paid, immediately refunded to customer. All compensation which constitutes interest under applicable law in connection with this Agreement shall be amortized, prorated, allocated and spread over the full term of the credit period, and over the full amount of the debt, to the greatest extent permissible without exceeding the maximum legal rate in effect from time to time during such period.
    10)
    Customer Authorization: Customer authorizes FacadesXi to investigate all information given on this credit application and hold free from liability all creditors and other persons who may respond to inquiries made by FacadesXi. Customer also authorizes the release of any credit information requested by FacadesXi from Customer’s banks and creditors.
    11)
    Business Purpose: Customer warrants that the goods or services purchased from FacadesXi are for business and commercial purposes, and not for personal, family or household use.

    [For Corporations or LLC’s]

    {Name of Company:70}
    Name of Company
    By:
    {By:71}
    Signature of Authorized Representative
    Title:
    {Title::72}
    Printed Name:
    {Printed Name::73}
    Date:
    {Date::74}

    [For Individuals]

    {Signature of Customer(s):76}
    Signature of Customer(s)
    {Printed Name:77}
    Printed Name
    Date:
    {Date::78}

    [For Partnerships]

    {Signature of Partner:80}
    Signature of Partner
    Printed Name:
    {Printed Name::81}
    {Signature of Partner:82}
    Signature of Partner
    Printed Name:
    {Printed Name::83}
    {Signature of Partner:84}
    Signature of Partner
    Printed Name:
    {Printed Name::85}
    Date:
    {Date::86}

    FacadesXi

    By:
    {By::88}
    Signature of Authorized Representative
    Title:
    {Title::89}
    Printed Name:
    {Printed Name::90}
    Date:
    {Date::91}

    AUTHORIZATION RELEASE FORM

    I hereby authorize any of the references listed to provide FacadesXi with any and all information requested.
    Dated this
    {Dated this:94}
    day of
    {day of:95}
    20
    {20:96}
    Name of Firm:
    {Name of Firm::97}
    Authorized Signature:
    {Authorized Signature::98}
    Printed Name:
    {Printed Name::99}
    Title:
    {Title::100}
    The applicant hereby individually guarantees the payment of any and all accounts hereunder, and further agrees that all or any of the undersigned may be held jointly or severely liable to FacadesXi.

    LEGAL SIGNATURE REQUIRED

    1.
    Individually
    {1. Individually:103}
    2.
    Individually
    {2. Individually:104}
    3.
    Individually
    {3. Individually:105}
    **Notice**: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the consumer Credit Protection Act.
    • Dear Customer,

      Thank you for your business. Please complete the following credit application form in its entirety.

      Our terms are net 30 days.

      If you have any questions, please do not hesitate to call us at the number listed below, or contact our sales manager, Joe McClaran, at 210-867-6991.

      Fill out the forms below and submit online or download the pdf and return all documents to:

      FacadesXi
      15262 Capital Port
      San Antonio, TX 78249

      or
      info@facadesxi.com

      Thank you in advance for submitting these forms.

      Sincerely,

    • Applicant Information

    • List of Corporate Officers, Partners, Owners:

    • Credit References – All Lines Must Be Completed

    • Tax Exemption

      IF YES - EXEMPTION CERTIFICATE MUST BE COMPLETED AND ATTACHED. TAX WILL BE CHARGED ON ALL INVOICES UNLESS AN ACCEPTABLE TAX EXEMPTION CERTIFICATE IS RECEIVED. DEDUCTIONS FOR TAX WILL NOT BE ALLOWED WITHOUT AN ACCEPTABLETAX EXEMPTION CERTIFICATE.
    • Purchase Requirements

    • IF YES – GOODS, PRODUCTS OR PARTS WILL NOT BE PROVIDED UNTIL A PURCHASE ORDER NUMBER IS RECEIVED.
    • Open-End Account Agreement

    • FACADESXI, and its customer (Customer), whose name appears below, agree as follows:
      • 1) Extension of Credit: Customer asks FacadesXi to extend open-end credit for Customers account with FacadesXifor the purchase of goods and services and rental of equipment offered by FacadesXi. Customer will pay to FacadesXi at its address in San Antonio, Bexar County, Texas the amount of all credit extended to Customer through charges to Customers account by Customer or any person acting or purporting to act on Customer’s behalf, and all finance and other charges incurred.
      • 2) Terms: All invoices charged to an approved open account are due and payable within 30 days from invoice date or as otherwise shown on the invoice.
      • 3) Invoices: not paid within terms will be assessed a finance charge of 1.5% per month (18% per annum) on the unpaid invoice balance.
      • 4) Change of Address and Billing Inquiries: Customer will give prompt written notice to FacadesXi at 15262 Capital Port, San Antonio, Texas 78249, of change of a Customers address so that invoices may be delivered to Customers current address without delay. Any inquiries as to any invoice should be mailed to FacadesXiat the address listed above.
      • 5) Default and Collection Cost: If a default occurs, FacadesXi may (i) decline to extend further credit hereunder (and customer agrees not to make any further Credit Purchases), (ii) declare all debts of Customer to FacadesXi arising hereunder or otherwise to be immediately due and payable without notice or demand of any kind, and (iii) exercise any other rights of FacadesXi whether in law or in equity. “Default” means (a) failure of Customer to act in accordance with the terms of this agreement, (b) death, bankruptcy or insolvency of customer or (c) FacadesXi in good faith believes that the prospect of payment of performance of Customers obligations is impaired. Customer shall be liable for all collection costs actually incurred byFacadesXi and for reasonable attorneys’ fees in connection with the collection of Customers debt to FacadesXi.
      • 6) Limitations of Warranties: EXCEPT FOR ANY EXPRESS, WRITTEN WARRANTY PROVIDED TO CUSTOMER AND SIGNED BY A DULY AUTHORIZED REPRESENTATIVE OF FacadesXi.FacadesXi MAKES NO WARRANTIES OF ANY TYPE, EXPRESS OR IMPLIED, WITH REGARDS TO GOODS SOLD OR LEASED TO CUSTOMER BY FacadesXi, OR ANY SERVICES PROVIDED TO CUSTOMER BY FacadesXi INCLUDING, WITHOUT LIMITATION, ANY WARRANTY OF MERCHANTABILITY, FITNESS OR SUITABILITY FOR A PARTICULAR PURPOSE, DESIGN, CONDITION, CAPACITY, PERFORMANCE, OR QUALITY OF MATERIALS OR WORKMANSHIP.
      • 7) Severability: The invalidity or unenforceability of any provision of this agreement shall not affect the validity or enforceability of any other provision.
      • 8) Miscellaneous: This Agreement constitutes the entire agreement between the parties and supersedes all prior agreements between Customer and FacadesXi.As used herein, the singular number includes the plural. This Agreement is an Open-End Account as defined in Art.5069-1.01(f) of the Revised Civil Statutes of Texas, but is not a transaction governed by Chapters 3, 4, 6, or 15 of the Texas Consumer Credit Code.
      • 9) Usury: FacadesXiand customer intend that this Agreement and any credit extended shall be in strict compliance with the applicable usury laws. If at any time any interest (including amounts deemed by law to be interest) contracted for, charged or received would be usurious under applicable law, then regardless of the provisions of this Agreement or any action or event, it is agreed that all sums that otherwise would be usurious shall be credited by FacadesXi as a payment of principal, or if the debt has already been paid, immediately refunded to customer. All compensation which constitutes interest under applicable law in connection with this Agreement shall be amortized, prorated, allocated and spread over the full term of the credit period, and over the full amount of the debt, to the greatest extent permissible without exceeding the maximum legal rate in effect from time to time during such period.
      • 10) Customer Authorization: Customer authorizes FacadesXi to investigate all information given on this credit application and hold free from liability all creditors and other persons who may respond to inquiries made by FacadesXi. Customer also authorizes the release of any credit information requested by FacadesXifrom Customer’s banks and creditors.
      • 11) Business Purpose: Customer warrants that the goods or services purchased from FacadesXiare for business and commercial purposes, and not for personal, family or household use.
    • [For Corporations or LLC’s]

    • Name of Company
    • Signature of Authorized Representative
    • Date Format: MM slash DD slash YYYY
    • [For Individuals]

    • Signature of Customer(s)
    • Printed Name
    • Date Format: MM slash DD slash YYYY
    • [For Partnerships]

    • Signature of Partner
    • Signature of Partner
    • Signature of Partner
    • Date Format: MM slash DD slash YYYY
    • FacadesXi

    • Signature of Authorized Representative
    • Date Format: MM slash DD slash YYYY
    • Authorization Release Form

    • I hereby authorize any of the references listed to provide FacadesXiwith any and all information requested.
    • The applicant hereby individually guarantees the payment of any and all accounts hereunder, and further agrees that all or any of the undersigned may be held jointly or severely liable to FacadesXi.
    • Legal Signature Required

    • **Notice**: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the consumer Credit Protection Act.