Credit Account Application


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Credit Account Application




A.B.N. 44 000 537 333 A.C.N. 000 537 333



Notes for Guidance




Part A To be completed by all Applicants.

Part B To be completed by Partnerships, Sole Traders and Proprietors of business names (eg. Paul’s Trucking Service…. The proprietors are Paul and Kate SMITH trading as Paul’s Trucking Service and therefore their particulars are required).

Part C To be completed by Pty Ltd or Ltd companies. If the applicant is a Company, each Director will be required to complete the personal guarantee in Part D.

Part D To be completed by all applicants and if the applicant is a Company, the Company name must be inserted after the words ‘Constitution of’ in the Execution Section and the Company Seal must be affixed. If the Applicant is a Partnership, the Partnership name must be inserted after the words ‘the terms of the’ in the Execution Section.



Part A – Business Details


Full trading name


     


ABN


     


Trading address


     

Postcode      


Contact name Position / Title


     




     


Contact phone Email


(    )      




     


Registered Office


     

Postcode      



Postal address


      Postcode      



Nature / type of business Requested credit limit


     




     


Date business commenced Premises

   /    /      






Owned



Leased



Buying





Bank Branch


     




     


Postal address

      Postcode      


Customer Accounts Payable contact name


     


Contact phone Email


(    )      




     


Main Scania contact name (i.e. Scania Account Manager’s name)


     



Trade / Business References



Business name      




Phone number (    )      

Email      

Fax number (    )      




Business name      




Phone number (    )      

Email      

Fax number (    )      




Business name      




Phone number (    )      

Email      

Fax number (    )      







Business name      




Phone number (    )      

Email      

Fax number (    )      




Part B – Details of Sole Trader / Partners



Full name Full name

     




     


Address Address

     




     







Postcode      

Postcode      


Telephone Telephone

     




     


Driver’s licence number Date of birth Driver’s licence number Date of birth

     




   /    /      




     




   /    /      


Occupation Occupation

     




     


Full name of spouse Full name of spouse

     




     



Part C – To be completed if a Company


Full Name


     


Date of incorporation State of Incorporation

   /    /      




     


ACN ABN


     




     


Authorised capital Paid up capital


     




     


Name of trading trust Type of trust (discretionary, unit)


     




     




Part D – Execution


Where the customer is an individual or sole trader Where the customer is a partnership

SIGNED by )

In the presence of: )

) …………………………………….

(Signature of Customer)
……………………………… (Date)

………………………………. …………..…………………..

(Signature of Witness) (Name of Witness)
……………………………….

(Date)





SIGNED in accordance with the terms of the

Partnership
)

by: ) …………………………………. …………………..

) (Signature of Partner) (Date)

)

)

) …………………………………. …………………..

(Signature of Partner) (Date)



Where the customer is a company

SIGNED in accordance with the Constitution

Of )

by ) …………………………………….

(Signature of Authorised Person)
…………………………………….

(Name of Authorised Person)
……………………………… (Date)
If signing on behalf of a Company, then please print your title or role. By signing this Credit Account Application, you affirm that you have the authority to bind the Customer to the terms of this Credit Account Application and agree to indemnify Scania from any loss in the event that you do not have that authority.

……………………………………

(Role/Title)




Details of Guarantor(s)



Full name Full name

     




     


Address Address

     




     







Postcode      

Postcode      


Telephone Telephone

     




     


Driver’s licence number Date of birth Driver’s licence number Date of birth

     




   /    /      




     




   /    /      


Occupation Occupation

     




     


Full name of spouse Full name of spouse

     




     




Part D – Execution by Guarantor(s)




SIGNED SEALED AND DELIVERED )

By the Guarantor In the presence of: )
…………………………………….

(Signature of Guarantor)
……………………………… (Date)
………………………………. …………..…………………..

(Signature of Witness) (Name of Witness)
……………………………….

(Date)





SIGNED SEALED AND DELIVERED )

By the Guarantor In the presence of: )
…………………………………….

(Signature of Guarantor)
……………………………… (Date)
………………………………. …………..…………………..

(Signature of Witness) (Name of Witness)
……………………………….

(Date)

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