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Apply For Commercial Credit
Download Blank Application
Company Info
*Company Name
DBA (If Applicable)
*Tax ID
*Business Type
*Years in Business
*Email Address
*Phone Number
Alternate Phone Number
Fax Number
*Monthly Credit Limit Requested
*Number of Employees
*Annual Sales
Website URL
*Nature of Business
Physical Address
*Address
*City
*State
*Zip Code
*Years at Address
Do You Own The Building?
Please provide current landlord's name and contact information (if applicable)
Billing Address
Address
City
State
Zip Code
Options/Miscellaneous
Applying For (Check All That Apply)
Electronic Invoices
Electronic Statements
I Prefer
Have any Principals or Officers been involved in any form of bankruptcy in the past seven years?
Has applicant ever filed for bankruptcy?
Has applicant ever had a judgment or lean entered against them?
Sales tax to be charged?
If you answered no, a representative will require a resale permit before issuing credit.
Federal excise tax exemption?
If you answered yes, a representative will require a federeal excise exemption certificate before issuing credit.
State excise tax exemption?
If you answered yes, a representative will require a state excise exemption certificate before issuing credit.
Purchase order required?
Electronic Payments
Would you like to participate in electronic payments?
Bank Name
Bank Phone Number
Account Number
Confirm Account Number
Routing Number
Confirm Routing Number
Electronic Funds Transfer (EFT) Authorization Agreement
We hereby authorize Whitley Fuel LLC and each of its successors and assigns and other affiliated companies to initiate debit entries to our checking account indicated above and the depository named above (hereinafter called “Depository”) to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. This is a binding agreement that may be executed by facsimile. This EFT agreement is to remain in full force and effect until Whitley Fuel LLC and the Depository have received written notification from us in such time and manner as to afford Whitley Fuel LLC and the Depository a reasonable opportunity to act on the notification. This agreement allows Whitley Fuel to charge debits to this account at frequent intervals for varying amounts.
Legal Agreements
Card Lock Agreement
When you receive your card(s), DO NOT write your security number on the card. Your signature verifies that you accept full responsibility for these cards. If any of these cards are lost, stolen, etc., you shall notify Whitley Fuel, LLC, immediately, because it takes a minimum of 24 hours before the cards can be made inactive. In addition, acceptance of these cards indicates full compliance with all fueling and safety procedures and rules as posted at each site.
Terms and Conditions
The applicant hereby applies for credit from Whitley Fuel LLC its Subsidiaries and assigns, existing and that may come to exist (Creditor), and agrees to be bound by all of the terms and conditions contained in this credit application. The applicant agrees to pay for purchases of goods and/or services according to the terms of the Creditor as indicated on each invoice. Creditor reserves the right to terminate credit and/or delivery accommodations at its sole discretion. It is understood the Creditor may impose a delinquency charge, which is the lower of 1% per month or the highest rate allowed by law on any amount that becomes delinquent. The Applicant agrees to be responsible for all collection costs and attorney’s fees incurred in connection with the collection of any delinquent amount, with or without suit, and/ or assigned to a collection agent. Creditor is authorized to check bank and credit references, and to obtain such commercial and/or consumer credit reports Creditor deems necessary to determine credit worthiness of applicant. In the event of litigation, applicant agrees to jurisdiction of the courts of, and venue shall be in, the State of Washington, and County of Okanogan. The parties hereto knowingly and intentionally waive the right to a jury trial on any issue or dispute that may arise between them. The person(s) signing this application certify that all of the information contained in this application and any attachment or amendment is true, correct, and complete to the best of their information, knowledge, and belief. In Consideration of the extension of credit to the above named purchaser, and to induce the extension of credit, the signers above do(es) hereby personally guarantee to Creditor the prompt payment, when due, of every claim, credit charge, account, past-due service charge or money due which may currently exist and/or hereafter arise in favor of the Creditor against the purchaser named. This is a continuing guaranty and shall remain in force until revoked by me (us) by notice in writing by certified mail to the Creditor, but such revocation shall be effective only as to claims of the Creditor, which arise out of the transactions entered into after its receipt of such notice. This obligation shall cover the renewal of any claim, credit charge, account, or money due guaranteed by this instrument or extension of time payment thereof, and shall not be affected by any surrender or release by the Creditor of any other security held by it for any claim hereby guaranteed.

Whitley Fuel LLC reserves the right to require the following documents of all credit applicants:
  1. Financial statements for the last two years prepared by an accountant using GAAP
  2. Current year-end statement, or corporate tax returns in lieu thereof, if business is less than two years old
  3. Personal financial statements of principals or personal tax return in lieu thereof if proprietorship or partnership