Phone: (770) 445-9019

Credit Application


Yes No

Check One:

Sole Propietorship
Government Agency

Tax Exempt:

Yes No

Company Owners, Officers, or Partners

Bank Reference

Trade References

Trade Reference 1

Trade Reference 2

Trade Reference 3

Terms and Conditions of Sale

Statement: In consideration of credit being extended by L & N Supply Company, Inc., the undersigned: (1) understands that the information contained herein is being relied upon for the extension of credit, and (2) understands that the information stated above by the undersigned is true and correct, and (3) agrees to make payment in full no later than 30 days from the invoice date, and (4) agrees that if paid later than 30 days from the invoice date, a finance charge as defined below will be imposed.

Charge Sales: If seller elects to extend buyer credit, all invoices are due and payable no later than 30 days from the invoice date. A finance charge for late payment of 2% per month will be added to all past due amounts or balances over 30 days old. At any time, seller may exercise its option to curtail or discontinue its sales or deliveries to buyer. If collection procedures are required, buyer is fully responsible and obligated to pay all court costs, attorney fees, and any other expenses incurred in the collection of the past due charges.

Continuing Guaranty Agreement

In consideration of the extension of credit granted by L & N Supply Company, Inc., the undersigned does hereby unconditionally guaranty full and prompt payment of whatever amount of credit the applicant, named on the first page of this credit application, shall at any time be owing on account to L & N Supply Company, Inc., for goods and materials hereafter delivered, furnished, or supplied, including applicable late charges, whether said indebtedness is in form of notes, bills, or open account. This instrument represents a guaranty of payment and not of collection. The undersigned Guarantor further agrees to pay all expenses, including court costs, and attorney fees, incurred by L & N Supply Company, Inc., in collection of any or all amounts owed to them by the applicant. This guaranty shall be a continuing, absolute, and unconditional guaranty and shall be enforceable by L & N Supply Company, Inc. All diligence in collection or protection and all presentment, demand, protest and/or notice as to anyone or everyone, of dishonor and default and of non-payment and of the creation and existence of any and all guaranteed debts and of any and all extensions of credit and indulgence hereunder, are expressly waived. The Guarantor waives any requirement that an action be brought against the credit applicant or any other person prior to any action brought against the Guarantor. Payment from the Guarantor of monies due and owing as a result of this guaranty agreement shall be upon demand by L & N Supply Company, Inc. This Guaranty and the rights and obligations of the parties hereunder shall be governed by and constructed and interpreted in accordance with the laws of the State of Georgia and shall bind the successors and representatives of the Guarantor. Everything stated by the undersigned is correct to the best of my knowledge. The undersigned understands that L & N Supply Company, Inc. will retain this application whether or not it is approved.

******NOTE: Credit Application is for 30-day terms ONLY.******

For security purposes, please enter the characters from the box above: