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Credit Application


Please fill out all of the fields below to complete your credit application.

Applicant

*Required
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)

(
)

*Required

*Required
*Required
*Required
*Required

(if different)


Business Information





*Required





$


(VA customers only, include tax exempt form)

Authorized Buyers

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Banking Information

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Patriot Act

Hoover & Strong Inc. is fully compliant with the anti money laundering requirement under the USA Patriot Act.



Trade References

(Must provide if seeking Net 30 terms)



Terms

  1. Applicant acknowledges that this credit application is for the extension of credit for business purposes only.
  2. Should credit terms be granted by Creditor, all credit shall be extended at the sole discretion of Creditor. Creditor may increase, decrease or terminate any credit availability at any time in its sole discretion.
  3. All Net 30 invoices are due thirty days from invoice date. A service charge of 1% per month or (12% per annum) is assessed on delinquent invoices.
  4. This credit agreement is governed by the laws of the state of Virginia. Further, the undersigned submits himself/herself to the jurisdiction of the courts of Virginia in the event suit is brought.
  5. The undersigned agrees to pay all reasonable costs of collection, to include an initial fee of 25% of the outstanding balance, if this account is referred to an agency and/or attorney for collection. Actual collection costs may be higher.
  6. Material submitted for refining is free of conflict materials. It is not sourced from entities that engage in unfair or deceptive purchasing practices or sourced from e-waste recycling facilities that do not have an environmental policy.


*Required

*Required

*Required

(Applicant agrees that a facsimile or emailed copy of the signature shall be accepted as the original.)


Personal Guarantee

This guarantee is given by the undersigned to Creditor, in order to induce and extend credit to, sell goods to, or otherwise become the creditor of, the Applicant. I/We guarantee to Hoover & Strong, Inc. the prompt payment in accordance with the terms of credit. I/We further agree that Hoover & Strong, Inc. may proceed against me/us after the debt is 90 days past due to collect said debt. Further, the undersigned submits himself/herself to the jurisdiction of the courts of Virginia in the event suit is brought in connection with any claim by Creditor regarding the guarantee of payment, and agrees that venue shall be in the county where Creditor has its principal place of business.
*Required



If you have any questions please contact Eddie at (804) 794-3700 Ext. 124


The following need only be completed if you are located in Virginia and are requesting VA Sales Tax Exemption.


FORM ST-11 COMMONWEALTH OF VIRGINIA

SALES AND USE CERTIFICATE OF EXEMPTION

(Name of Supplier)
(Number and Street or Rural Route)           (City, Town, or Post Office)
(Zip Code)

The Virginia Retail Sales and Use Tax Act provides that the Virginia sales and use tax shall not apply to the kinds and classes of tangible personal property shown in Items I through 10 below when purchased for the purposes specified. Information for supplier - A supplier is required to have on file only one Certificate of Exemption properly executed by each purchaser buying tax exempt personal property under this Certificate.

The undersigned purchaser hereby certifies that all tangible personal property purchased or leased from the above named supplier on and after this date will be purchased or leased for the purpose or purposes indicated below, unless otherwise specified on each order, and that this certificate shall remain in effect until revoked in writing by the Department of Taxation.

(Check proper box below.)

  • 1. Industrial materials for future manufacturing, processing, refining, or conversion into articles of tangible personal property for resale where such industrial materials either enter into the production or become a component part of the finished product; industrial materials that are coated upon or impregnated into the product at any stage of its manufacture, processing, refining, or conversion for resale.
  • 2. Machinery or tools or repair parts therefor or replacements. thereof, equipment, fuel, power, energy, or supplies, used directly in manufacturing, processing, refining, mining or converting products for sale or resale.
  • 3. Items used directly in the drilling, extraction or processing of natural gas or oil for sale or resale and in well area reclamation activities required by state or federal law.
  • 4. Agricultural commodities or seafood purchased for the purpose of acquiring raw products for use or consumption in the process of preparing, finishing, or manufacturing such agricultural or seafood commodity for the retail consumer trade. The term “agricultural commodity’’ , for the purposes of this exemption, means horticultural, poultry, farm products, livestock and livestock products, and products derived from bees and beekeeping. (This Certificate of Exemption cannot be given to cover any agricultural or seafood commodity sold or distributed as a marketable or finished product to the ultimate consumer.)
  • 5. Tangible personal property purchased for use or consumption directly and exclusively in basic research in the experimental or laboratory sense or research and development in the experimental or laboratory sense.
  • 6. Certified pollution control equipment and facilities, used PRIMARILY for the purpose of abating or preventing pollution of the atmosphere or waters of the Commonwealth. Certifying authority shall be the Air or Water Division of the Department of Environmental Quality and any interstate agency authorized to act in place of a certifying authority of the State.
  • 7. Certified pollution control equipment and facilities as defined in Section 58.1-3660 and which in accordance with such Section, has been certified by the Department of Mines, Minerals and Energy for coal, oil and gas production, including gas, natural gas and coalbed methane gas. (This exemption is effective on and after July 1, 1995.)
  • 8. Materials, containers, labels, sacks, cans, boxes, drums or bags for packaging tangible personal property for shipment or sale, whether returnable or non-returnable.
  • 9. Equipment, materials or supplies used directly in the production of a publication (for sale or free distribution) issued at regular intervals not exceeding three months.
  • 10. High speed electrostatic duplicators, or other duplicators, which have a printing capacity of 4,000 impressions or more per hour when purchased or leased by persons primarily engaged in the printing or photocopying of products for sale or resale.


(Number and Street or Rural Route)           (City, Town, or Post Office)
(Zip Code)

I certify that I am authorized to sign this certificate of exemption and that, to the best of my knowledge and belief, it is true and correct, made in good faith, pursuant to the virginia retail sales and use tax act.

(If the purchaser is a corporation, an officer of the corporation or other person authorized to sign on behalf of the corporation must sign; if a partnership, one partner must sign; if an unincorporated association, a member must sign; if a sole proprietorship, the proprietor must sign.)
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