Retail Customer Individual Credit Application

MARLING LUMBER COMPANY, INC.
PO Box 179
Janesville, WI 53547-0179
Telephone: 608-757-3427
Facsimile: 608-531-0373 / mhurley@marling.com

Retail Customer Individual Credit Application Dated As Of

To obtain credit from creditor, customer agrees all sales are subject to creditor’s usual terms and conditions as amended by creditor from time to time available at www.marling.com, and represents and states the following, and authorizes release of any information pertaining to customer’s financial conditions from any third parties which may verify same. Customer authorizes creditor to obtain a consumer credit report from time to time on the undersigned individual through credit and consumer reporting agencies or other sources, in order to further evaluate the creditworthiness of such individual in connection with the credit evaluation process and the proposed extension of credit to applicant. The undersigned, as an individual, hereby knowingly consents to the use of such credit report in accordance with the federal fair credit reporting act.

“CREDITOR” is MARLING LUMBER COMPANY, INC.

Customer Is

Telephone

Address

Cell

* Email Address

Social Security Number

How long have you lived at this address?

Previous Address

City

State

Zip Code

Employed by

Address

City

State

Zip Code

Position

Length Of Employment

Address Of New Construction

References: Bank; and Other Information (complete reverse side).

Customer agrees to pay late payment charges of 1.5% per month or the highest rate allowed by law (whichever is the lesser) from the due date of each invoice to date of payment. In the event customer’s account is placed for collection, customer agrees to collection and/or attorney fees of 25% of the amount owed. Customer agrees that any dealings between the parties shall be governed by and interpreted in accordance with the laws of the state of Wisconsin and customer further agrees, per creditor’s option, to the jurisdiction of the courts of Wisconsin, state or federal to determine any controversy arising in their dealings.

Name

Bank Account & Reference

Address of Bank

Contact Person

Telephone

Name

Address

Contact person and telephone number

Name

Address

Contact Person & Telephone Number

Name

Address

Contact person and telephone number

IMPORTANT: ATTACH CURRENT FINANCIAL STATEMENT OF CUSTOMER

Creditor

Address

Collateral

Creditor

Address

Collateral

Creditor

Address

Collateral

Janesville (River Street)

Madison

Janesville (Humes Road)

Janesville (Doors & Hardware)

Waukesha

Retail Customer Individual Credit Application