Text Box: 630 Proctor Avenue
Elk River, MN 55330
(800) 637-4117
(763) 441-2383
FAX (763) 441-1688

 

 


 

                           RESIDENTIAL CREDIT APPLICATION

 

 

Acct  # __________________                                                    

 

Name                                                                                       SSN#                              

Address                                                                      City/Zip                                        

Home ph.                                             Work ph.                                                             

Employer                                                                          How Long?                            

Address                                                                       City/Zip                                       

Spouse’s Name                                                           SSN#                                         

Employer                                                        Work ph.                                                   

Address                                                                       City/Zip                                        

Do you:      Own     or      Rent                  /         House      or      Mobile Home

Name of closest relative                                                       Ph. #                                

 

 

This information must be provided to open an account with Beaudry Oil Company.  The information provided will be used only for credit evaluation purposes.  All accounts will be verified by using a credit report supplied by CSC Credit Service.  Beaudry Oil credit terms are as follows:  A $.05 discount per gallon will be given if payment for fuel is received within 10 days of delivery date.  Net payment is due within 30 days of delivery date.  Service Charges are computed at a rate of 1.5% per month or 18% per year on balances over 30 days.  I, the undersigned, hereby agree that in the event of default in the payment of any amount due, and if this account is placed in the hands of a collection agency or attorney for collection or legal action, to pay an additional charge equal to the cost of collection including collection agency and attorney fees and court costs incurred.

 

 

 

Signed_______________________________________Date_______________