Balow's
Highway 7 Auto Salvage, Inc.
1838
Hwy 7
Lester Prairie, Minnesota 55354
320-395-2926 ~ 888-395-Part ~ Fax: 320-395-4317
Company Name
________________________________________ Phone
_____________________
Billing Address
____________________________________________________________________
Shipping Address (if different)
________________________________________________________
Accounts Payable Manager
_________________________________________________________
Is this business a: Sole
Proprietorship, Partnership or Corporation?
If Corporation: Year Inc.
______________________ State Inc. _____________________________
Federal Tax ID #
__________________________________________________________________
Corporate Officers
_________________________________________________________________
Principal Owner(s):
________________________________________________________________
Is PO# Required ? __________ Yes
___________ No
Bank Reference:
Name
_________________________________ Acct# ________________ Phone
______________
Address
_________________________________________________________________________
Business References:
Name
__________________________________ Acct# _______________ Phone
______________
Address
_________________________________________________________________________
Name
__________________________________ Acct# _______________ Phone
______________
Address
_________________________________________________________________________
Credit Terms:
1. Net due 30 days from billing
date.
2. An account 60 days in age will
be C.O.D. only, until the balance is paid in full. At that time
a payment arrangement must be set up and followed through with
as agreed upon or your credit line will be rejected. (It may
also be rejected if this happens continuously.)
If credit is granted, I agree to
pay by the terms outlined above and I understand that interest
of 1.5% per month, and 18% per year will be charged on past due
balances. I also agree to pay all attorney’s fees, court
costs, collection costs and all other expenses which may be
incurred in collecting past due balances or insufficient funds
checks, as permitted by law.
Signature ______________________________________ Date
_______________________________
Title
__________________________________________ Phone
______________________________
Sales Tax Form
I, the undersigned purchaser,
hereby certify that I am engaged in the business of selling,
leasing or renting auto and body repairs or parts and that the
tangible personal property described herein, which I shall
purchase from above dealer will be resold, leased or
rented by me; provided, however, that if any such property is
used for any purpose other than retention, demonstration or
display while holding it for sale, lease or rental in the
regular course of business, it is understood that I am required
to report and pay the tax measured by the purchase price of such
property.
Description of property to be
purchased for resale – Auto/Truck Parts.
