If you would prefer to print out an application, you can bring it in to our office, or fax completed application to 510-357-2407.
For questions please call 1-800-772-2340

PRINT CREDIT APPLICATION

 
 
I hereby make application for credit from Peterson Tractor Co., Peterson Machinery Co., Peterson Power Systems, Inc., or any of their
related or affiliated companies, and in support of said application, make the following statements:
 
Please check where your initial purchase will be made.
 
   
Applicant Name:* Trade Name (if different):  
 
Billing Address:* City:* State:*             Zip:*
      
Physical Address:* City:* State:*             Zip:*
      
 
Business Phone:* Fax:* Cell:*
 
HM:* Email:* Date Established:*
/ /
 
 
Social Security No.:* Taxpayer I.D. No.:* Sales Tax ID:*
 
 
Nature of Business:* Description of Business: Type of Business:*
 
 
If Division or Subsidiary, give name of Parent:
 
City: State:
 
 
 
PRINCIPALS - NAMES OR OFFICERS, PARTNERS, OWNER
Full Name:* Title:*  
 
 
Residence Address:* City:* State:*             Zip:*
      
 
% of Ownership:* Social Security No.:* Date of Birth:*
/ /
 
  Add Additional Information:
 
 
 
 
Full Name: Title:  
 
 
Residence Address: City: State:             Zip:
     
 
% of Ownership: Social Security No.: Date of Birth:
/ /
 
  Add Additional Information:
 
 
 
 
Full Name: Title:  
 
 
Residence Address: City: State:             Zip:
     
 
% of Ownership: Social Security No.: Date of Birth:
/ /
 
  Add Additional Information:
 
 
 
 
Full Name: Title:  
 
 
Residence Address: City: State:             Zip:
     
 
% of Ownership: Social Security No.: Date of Birth:
/ /
 
 
 
 
Insurance Co.:* Contact Name:* Phone Number:*
 
 
 
BANK/FINANCE CO. REFERENCE
Balance:
(Checking)*		 (Savings)*
 
 
Full Name:* Contact:* Phone Number:*
 
 
Address:* City:* State:*             Zip:*
        
 
Type of Account:* Account Number:*  
 
 
  Add Additional Information:
 
 
 
Balance:
(Checking)		 (Savings)
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
       
 
Type of Account: Account Number:  
 
 
  Add Additional Information:
 
 
 
Balance:
(Checking)		 (Savings)
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
 
Type of Account: Account Number:  
 
 
  Add Additional Information:
 
 
 
Balance:
(Checking)		 (Savings)
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
 
Type of Account: Account Number:  
 
 
 
 
 
 
TRADE REFERENCES
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
     
  Add Additional Information:
 
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
     
  Add Additional Information:
 
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
     
  Add Additional Information:
 
 
 
Full Name: Contact: Phone Number:
 
Address: City: State:             Zip:
     
 
Has the business or any principal ever declared bankruptcy?
 
If yes, date filed Any outstanding liens or judgments?
/ /  
 
Purchase Order Required?:* Sales Tax Exempt?:* (If yes, attach exemption certificate)
 
Applicant and each other person signing below warrants that the information provided herein or in connection with this application is true and correct and authorizes the release of such information to dealer or any party which may provide credit to applicant, whether herein or pursuant to a subsequent application or request, to obtain from banks, credit bureaus and other creditors, all of which are hereby authorized to release any credit/financial information concerning applicant or such other person as such party may deem appropriate, and to share all such information with the other. I agree to notify you of any material changes in the statements made in this application I understand and agree that should credit be extended, payment of the account in full is due on or before the 10th day of each month following the month in which the charge occurs. Any amount unpaid after 30 days from the date the debt is incurred shall bear a late payment charge of the lesser of 1 1/2% per month, which is an annual percentage of 18%, or an amount not to exceed the highest rate permitted by law. I agree to pay all costs, including reasonable attorney fees, incurred by you for collection of this account I understand the fact that an imposed late payment charge does not authorize payment of this account to be made in installments in any other manner than herein provided except that I may pay the account in full at any time.
 
AN ELECTRONIC MAIL OF THIS AUTHORIZATION SHALL BE CONSIDERED AS EFFECTIVE AND VALID AS THE ORIGINAL.
 
PERSONAL GUARANTY
 
The APPLICANT, in consideration of PETERSON extending credit to the aforesaid APPLICANT, guarantees and agrees to pay to PETERSON all monies which shall become due from applicant by reason of any credit PETERSON extended as herein requested including late payment charges and all costs of collection and reasonable attorney’s fees for recovery of the debt if it is due whether it is incurred by the debtor or guarantor or both. APPLICANT hereby waives any obligation upon PETERSON to make demand on the debtor and waive notice of default to APPLICANT and consent to any extensions and renewals of the debtor’s obligations hereunder without notice. APPLICANT authorizes PETERSON to release, at its sole option, and from time to time, any and all collateral given it by the debtor without affecting the guaranty.
 
I accept these Terms & Conditions.
 
NOTICE: If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact the Corporate Credit Manager, 955 Marina Blvd., San Leandro, CA 94577 within 60 days from the date you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days from receiving your request The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derived from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this Creditor is the FTC Regional Office for the region in which the Creditor operates of the Federal Trade Commission, Washington, D.C.