SamsDepot Credit Application Instructions

June 12, 2024
SamsDepot

Credit Application

Product Information

The product is a credit application form provided by Sams Depot,
LLC. It is used for individuals or businesses to apply for credit
with Sams Depot, LLC.

Product Usage Instructions

  1. Fill in the date of the application and your Samsdepot Account
    number.

  2. Provide your contact information including email, address,
    phone, city, state, zip, fax, and resale number.

  3. Fill in the accounts payable contact(s) information including
    email address and direct phone number.

  4. If your business is a corporation, list the names of
    shareholders, officers, and their titles. If it is another type of
    entity, list the names of partners or owners.

  5. Provide the type of business and the date it was
    established.

  6. Provide the name and address of your bank, along with the name
    of your bank contact and account number.

  7. Indicate the relationship with your bank (checking, savings,
    borrowing).

  8. List industry-related trade references including the company
    name, account number, and fax number or email address.

  9. If applicable, attach a current financial statement. If not
    applicable, explain why.

  10. Attach a Sales Tax Certificate and Guaranty Agreement.

  11. Sign the application form as an officer or principal of the
    business.

Note: The information provided in the application form is used
for the purpose of obtaining credit and must be true. By signing
the form, you authorize Sams Depot, LLC to investigate the
references listed.

281.969.7326 | 1112 Staffordshire Rd, Stafford, TX 77477 | WWW.SAMSDEPOT.US
CREDIT APPLICATION INSTRUCTIONS
· Please ensure all sections are filled out and legibly and completely. · Any incomplete areas on the application will delay processing. · Please include your account number on the application. · Submit a minimum of three INDUSTRY TRADE REFERENCES (they must be
vendors you are on credit terms with). We do not accept references from leasing companies, credit cards, or utilities. · Industry trade references listed must include fax number or an email address and your account number with the reference listed. · Include all Principals/Corporation information. The application must be signed by an Officer or Principal. · Allow 5-10 business days to process your application. Please realize we can only respond as fast as your references respond.
Please email the completed application to info@samsdepot.us.

Date: ____ Samsdepot Account #: ___

281.969.7326

|

1112 Staffordshire Rd, Stafford, TX 77477

|

WWW.SAMSDEPOT.US

CONFIDENTIAL CREDIT APPLICATION
Email: info@samsdepot.us Remit Instructions Email: info@samsdepot.us

Please check one: Net 30

Update

E-Check Credit Line Requested: ____

Registered Business Name:


Other Names:


Address: ___ Phone:


City: __ State: ___ Zip: _

Fax: __ Resale Number:


Accounts Payable Contact(s):


Email Address: __ Direct Phone:


Individual ( ____) Partnership ( ___ ) Corporation (____) D&B#


Principals: If a corporation, list names of shareholders, officers and titles. If other entity, list names of partners or owners.

Name

Title

Shareholder

(Y or N)

Home Address






Type of Business: _____ Date Established:


Name And Address of Bank:


Name of your Bank Contact: _____ Account #:


Relationship:

Checking

Savings

Borrowing

Industry Related Trade References: COMPANY NAME / ACCOUNT # / FAX # or EMAIL ADDRESS

1.


2.


3.


Attach current financial statement, if not, please explain:


Note: Attach Sales Tax Certificate and Guaranty Agreement. The above information is given for purpose of obtaining

credit and is warranted to be true. We hereby authorize Sams Depot, LLC to investigate the references listed.

By: ___ Signature of Officer or Principal

Title: ___

281.969.7326 | 1112 Staffordshire Rd, Stafford, TX 77477 | WWW.SAMSDEPOT.US
GUARANTY AGREEMENT
FOR VALUABLE CONSIDERATION, the receipt whereof is hereby acknowledged, and to induce Sams Depot (hereinafter referred to as “Secured Party”), its successors and assigns, at any time or from time to time to give to or make advances or loans to __ , (hereinafter referred as”Borrower”),
(Please Print Name of Company) and in consideration of any such extension of credit, loans, or guarantee the payment in full of all sums which are now or may hereafter be owing from the Borrower to the Secured Party and all renewals to extensions of any such sums. Notice of acceptance of this guarantee and of action taken by the Secured Party from time to time hereunder and notice of protect and demand of any accounts receivable are hereby waived. This is a continuing guaranty and shall cover and apply to all transactions entered into by the Borrower prior to the receipt by the Secured Party at its office delivered by registered mail to an office of the Secured Party at its office at 220 Remington Blvd., Bolingbrook, Illinois 60440, but no such termination shall affect any obligations of the undersigned pursuant to this guaranty existing at the time such notice is received by the Secured Party, whether such obligation is direct or indirect, absolute or contingent, then due or there after to become due. The undersigned hereby authorizes the Secured party to grant time or other indulgence to the Borrower and agrees that such granting of time or other indulgence shall not release or in any way modify the liability of the undersigned, nor shall any failure of the Secured Party to realize upon any security or other rights which it may have in any way affect the liability of the undersigned, and, generally the undersigned hereby waives any and all suretyship defenses and defenses in the nature thereof.
This guaranty shall be binding upon the heirs, administrators, successors, and assigns of the undersigned. The Secured Party may assign this instrument or any of its rights and powers hereunder, and may assign or deliver to its assignee any security given by the undersigned.
If it becomes necessary to enforce this guaranty by suit or to place this guaranty in the hands of an attorney for enforcement, although no suit results, guarantors agree to pay to the CREDITOR interest at the rate to twelve percent (12%) per annum after maturity (or the maximum lessor amount that is lawful under the applicable laws) until paid, on the amount reasonable expenses of collections.
This instrument is intended to effect as a sealed investment. Dated this day of, 20 __ . Home Address:


GUARANTOR’S SIGNATURE (Please print name above) ___ (Company Name)
On this _
day of __ , 20 _____ , before me personally came ____ to me known to be the individual described in and who executed the foregoing instrument and acknowledged to me that he executed the same.
NOTARY PUBLIC (SEAL)

References

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