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_______________ |