RESIDENTIAL CREDIT APPLICATION
PLEASE PRINT, FILL OUT, SIGN & FAX OR MAIL BACK TO US.
19474 160th Ave N
Felton, MN 56536
218-494-3301

Acct  # ____________________                                  

Name __________________________________________________                                                SSN#
________________                                

Address_________________________________________________           City/State/Zip
_______________________                                       

Home ph. _______________________________         Work ph. ____________________

Employer _______________________________________________________________
                                                                    
How Long? __________________________
                   
Employer Address ________________________________________              City/State/Zip
_______________________                                      

Spouse’s Name __________________________________________                                                 SSN#
________________                               

Spouse’s Employer _______________________________________             Work ph.
________________________                                     

Employer Address ________________________________________               City/State/Zip
______________________                                        

Do you:        Own    or     Rent                /        House     or     Mobile Home

Name of closest relative ___________________________________                Ph. #
_____________________________
                                    
This information must be provided to open an account with Fevig Oil & Propane Company.  The information provided
will be used only for credit evaluation purposes.  Fevig Oil & Propane credit terms are as follows:  A $.10 discount per
gallon will be given if payment for fuel is received within 10 days of delivery date.  Net payment is due within 30 days of
delivery date.  Service Charges are computed at a rate of 1.5% per month or 18% per year on balances over 30
days.  I, the undersigned, hereby agree that in the event of default in the payment of any amount due, and if this
account is placed in the hands of a collection agency or attorney for collection or legal action, to pay an additional
charge equal to the cost of collection including collection agency and attorney fees and court costs incurred.


Signed_______________________________                Date_______________