CREDIT APPLICATION

Company Information
Business Name *
Federal ID# or SS# *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *
Fax Number
E-mail
Provide Valid Email to gain access to your account through our website and billing purposes
Years in Business *
Years at Address *
Credit Line Requested $ *
Accounts Payable Representative
Phone Number
Tax Exempt? *

Yes No
If YES Tax Exempt Number
Please attach tax exempt form at bottom of application
Authorized Personnel

Please list all employees, agents, sub-agents, etc. that are authorized to sign or receive property on your behalf or on behalf of your business
** Persons listed above must present valid identification prior to signing or receiving property on your behalf or on behalf of your business. Persons not listed above will not be allowed to sign or receive property on the account
PO Number Required? *

Yes No
Job Name Required? *

Yes No
Bank Reference
Bank Name: *
Phone Number *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Types of Accounts Held *
Bank Contact Person
Trade Credit References
Upload Trade Credit Sheet (optional)
Max. file Size 100kb
Company Name
Contact
Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number
Fax Number
Contact E-mail
Company Name
Contact
Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number
Fax Number
Contact E-mail
Company Name
Contact
Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number
Fax Number
Contact E-mail
Terms
I hereby apply for credit and affirm financial responsibility, ability, and willingness to pay invoices in accordance with the published terms. The above information is warranted to be true and complete. I hereby authorize Superior Rents & Sales, Inc. or its agents to verify and collect information, including but not limited to bank references, trade and credit references, consumer and/or commercial credit reports.

I hereby agree to pay a monthly finance charge of 1.5% on all past due balances. A balance will be considered to be “past due” if said balance is not paid by the 20th day of the month after which the statement is issued. Finance charges, if applicable, will be assessed from the original statement date. Furthermore, I hereby expressly agree that after the expiration of ninety (90) days from the date an unpaid balance becomes “past due,” Superior Rents & Sales, Inc. may increase the monthly finance charge to the highest percentage then allowed under the Missouri Revised Statutes.

I understand that failure to return rented or leased personal property within the time specified in an agreement in writing may subject me to criminal liability and prosecution pursuant to § 578.150 RSMo. I understand that failure to return rented or leased personal property having a value of under $500.00 may be a class A misdemeanor offense in Missouri, and that failure to return rented or leased personal property having a value of $500.00 or more may be a class C Felony in Missouri. Returns of the rented or leased property at the end of the lease term, but does not pay the lease charges agreed upon will subject to prosecution under § 578.150 RSMo.

I understand that Superior Rents & Sales, Inc. reserves its right at all times to assert any Mechanics’ and Materialmen’s liens that it may be entitled to through the use of rented or leased equipment for improvements made on commercial property pursuant to Chapter 429, RSMo. I hereby agree to take any steps that may be necessary to assist Superior Rents & Sales, Inc. in perfecting a lien under said chapter, including but not limited to: (i) obtaining the consent of the lien from the owner of such commercial property pursuant to § 429.013 RSMo.; (ii) notifying Superior Rents & Sales, Inc. in writing of the intent to use the rented or leased equipment to make improvements on commercial property prior to the commencement of the use of the rented or leased equipment; and (iii) notifying Superior Rents & Sales, Inc. in writing of the address and telephone number of the owner of such commercial property prior to the commencement of the use of the rented or leased equipment on said commercial property.

I hereby agree that all decisions with respect to the extension or continuation of credit shall be in the sole discretion of the Creditor.

I agree to be responsible for all costs and expenses of collection and reasonable attorney’s fees incurred by Superior Rents & Sales, Inc. in enforcing any of the provisions contained herein, or for any losses, costs, expenses and reasonable attorneys’ fees incurred by Superior Rents & Sales, Inc. as a result of its reliance on any false or misleading statements made by me herein whether or not such false or misleading statements have been made intentionally or knowingly.

By signing below, I am certifying that I have read and agree to all of the foregoing provisions contained within this Credit Application.
Agreement *

I agree to Superior Rents & Sales, Inc Terms
By signing this electronic signature acknowledgment form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *
Type Name *

First Name Last Name
Title *
Date *

Month Day Year
Personal Guarantee
In consideration for Superior Rents & Sales, Inc. extending credit to the business identified below for any materials and/or services after this date at the request of applicants or its agents, the undersigned individual hereby personally guarantees unconditionally and irrevocable the prompt payment of any sums now or hereafter owed to Superior Rents & Sales, Inc. by the business identified below whether said sums are due under open account, contract or otherwise.

It is understood and agreed that credit, if extended, is to be on a continuing basis and may exceed estimate maximum credit limit required as stated in the credit agreement between Superior Rents & Sales, Inc. and the business. Superior Rents & Sales, Inc. shall not be obligated to notify the undersigned of the dates or amounts of any such credit and the undersigned waives demand, notice of default and any extensions of time or any other forbearance which may be extended by Superior Rents & Sales, Inc.

This guaranty shall continue in force until notice in writing, sent by registered or certified mail, return receipt requested is received by Superior Rents & Sales, Inc. Said notice shall specify the date on which this guaranty is to be terminated; said date not to be less than seven days after such notice is received. Such termination shall in no way release the undersigned as to an sum or debt incurred prior to such termination.
Type Name

First Name Last Name
Date

Month Day Year
Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number
SS Number
Name of Business whose account is guaranteed
Signature
Attachments:
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Company Information

Authorized Personnel

Bank Reference

Trade Credit References

Terms

Personal Guarantee

Attachments: