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Credit Application Form - FSM Editable

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gteventasnorte
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6 views3 pages

Credit Application Form - FSM Editable

Uploaded by

gteventasnorte
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COMPANY APPLICATION FORM

COMPANY NAME:

ADDRESS:

ZIP CODE CITY STATE

TAX ID PHONE # FAX

LEGAL REPRESENTATIVE POSITION

AUTHORIZED COMPANY EXMPLOYEES FOR PURCHASING

ACCOUNTING BUYER PAYMENTS

INVOICING TIME SCHEDULE: DAY(S)) TIME

PAYMENTS TIME SCHEDULE: DAY(S) TIME

ASSETS LIABILITIES EQUITY

COMPANY´S ROLE

LAST MONTH SALES CURRENT YEAR SALES LAST YEAR SALES

REQUIRED CREDIT AMOUNT: ESTIMATED MONTHLY PURCHASE:

INDUSTRIAL AREA OF ACTIVITY

MANUFACTURING AUTOMOBILE LOCAL INDUSTRY HVAC HOME APPLIANCE

TELECOMUNICATIONS/CONSTUCTION OTHER

COMMERCIAL REFERENCES

PROVIDER/SUPPLIER

PHONE

CONTACT

BANKING REFERENCE

BANK

PHONE

FAX

BRANCH

ACCOUNT #:

CURRENCY: MXP USD: MXP USD MXP USD

BANK’S CONTACT AGENT


BILLING TAX SCHEME
WITH VAT
WITHOUT VAT
In case of invoicing without VAT please indicate: DIRECT EXPORT VIRTUAL EXPORT
DELIVERY ADDRESS

ADDRESS: ZIP CODE

CITY: STATE:

CURRENCY TYPE FOR BILLING

MXP USD:

CONTACT INFORMATION
NAME POSITION EMAIL ADDRESS PHONE NUMBER

LEGAL REPRESENTATIVE

ACCOUNTANT:

BUYER:

PAYMENTS:

MAIL FOR SENDING INVOICES:

PAYMENT TRACKING SITE (ONLY IF APPLIES):


IMPORTANT
PLASE ATTACH
* INCORPORATION CERTIFICATE * ADDRESS BILL (COPY, ANY SERVICE)
* TAX ID DOCUMENT * COMPLIANCE WITH TAX OBLIGATIONS DOCUMENT
* LEGAL REPRESENT ID

ANY TYPE OF CREDIT WILL BE TEMPORARILY SUSPENDED TO CUSTOMERS WITH BALANCES DUE FOR MORE THAN 10 DAYS AFTER THE
CREDIT PERIOD AND ALL TYPES OF CREDIT WILL BE DEFINITELY CANCELED FOR THOSE WHO RECLAIM FOR THE THIRD TIME IN A YEAR IN THIS
SITUATION

IF THE CUSTOMER COMES TO DEPOSIT A CHECK FOR THE PAYMENT OF AN INVOICE AND IT IS RETURNED FOR ANY CAUSE, IT WILL BE CHARGED
20% OF THE VALUE OF THE CHECK, ADDITIONAL TO THE VALUE OF THE CHECK AS PENALTY (LGSM)

ONCE THE PREVIOUS TERMS ARE READ, WE ACKNOWLEDGE AND SIGN IN COMPLETE AGREEMENT.

BUYER´S NAME & SIGNATURE ACCOUNTS PAYABLE´S NAME & LEGAL REP. NAME & SIGNATURE
SIGNATURE

FOR THE EXCLUSIVE USE OF FASTENERS SERVICE DE MÉXICO SA DE CV.


AMOUNT OF CREDIT

CUSTOMER SENIORITY

PAYMENTS TERMS

PAYMENT METHOD

RETURNED CHECKS

EXPERIENCE

PRODUCTS PURCHASED

CREDIT GUARANTEE

REPORTED

POSITION

COMMENTS

CREDIT APPROVAL
DATE OF RECEIPT TIME OF RECEIPT
DATE OF AUTHORIZATION DATE OF REJECTION
ESTABLISHED AMOUNT PAYMENTS TERMS
DISCOUNT ESTABLISHED PAYMENT METHOD
COMMENTS

SIGNATURE AUTHORIZED

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