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About
About
Parent Company
Waste Fuel Programs
Community
Our Mission
Sales
Documents & Forms
Environment
Sustainability
Training
Regulation
Careers
Contact
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Hannibal Credit Application
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Account
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Customer Type
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Liquids
Solid
Both
Direct Contractor Sales
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Credit Information
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(Only if applying- for credit)
Corporation
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Credit Limit Desired
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Date Business Established
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Company Officers
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Principal Name
Position
Residence Address
Residence Phone
Current Trade References
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Name
Address
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Email Address
Current Trade References
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Name
Address
City & Zip
Email Address
Current Trade References
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Name
Address
City & Zip
Email Address
Bank References
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Name
Address
City & Zip
Phone
Bank References
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Name
Address
City & Zip
Phone
Bank References
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Name
Address
City & Zip
Phone
Person to Contact
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Current Assets
Cash on hand and in banks
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Due from customers
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Cost value of merchandise on hand
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Other current assets
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Current Liabilities
Bank loans payable within a year
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Tax obligations due
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Due to merchandise creditors
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Other debts due within a year
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Fixed Assets
Business equipment
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Land used in business
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Other fixed assets
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Indebtedness Not Due Within a Year
Chattel Mortgages due on merchandise
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Chattel Mortgages due on other assets
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Other long-term debt
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Real Estate Mortgages
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Net Worth
Monthly Sales Volume
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% of Sales made on credit
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% of Sales at retail
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% of Sales at wholesale
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% of Sales on time payment plan
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Peak season of year
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Date of last physical inventory
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Profit shown latest U.S. Income Tax return
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Signature
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