Credit Application Form


APPLICATION FOR CREDIT

Robert V. Jensen, Inc,
P.O. Box 12907 – Fresno, CA 93779
4029 S. Maple Avenue – Fresno, CA 93725
Phone: 559-485-8210 Fax: 559-485-8503
www.rvjensen.com

For office use only

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  • Applying for Credit as:
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(Please print legal name to appear on account. Individual, Partnership, Corporate, LLC, Trust name)

 

PRINCIPALS (OWNER, PARTNERS, OFFICERS):

 

 

BANK REFERENCE:

 
 

BUSINESS / CREDIT REFERENCES:

 

Required: (List your current fuel / lubricants suppliers and other major credit references)

Attach additional credit information if necessary

 

PRESENT TRUCKING INOFRMATION (if applicable):

 
 

PRESENT FARMING INFORMATION (if applicable):

 
 

(If different than applicant)

 

TERMS OF ACCOUNT:

 

Upon credit approval our normal terms are as follows:

 

*Dealer/Service Stations – EFT 4 Days

*Truck & trailer fuel – NET 10 Days

*Bobtail fuel and oil / lubricants – NET 30 Days

*Fuel Cardlock – NET 15 Days (Accounts will be billed on the 1st & 15th of each month)

Terms may vary based on credit history and credit limit granted. Applicant agrees to pay upon demand at any time to Robert V. Jensen, Inc. the full amount of said indebtness, including finance charges of 1.5% per month (18% per annum) or such lesser amount as Robert V. Jensen, Inc. may charge. Robert V. Jensen, Inc. shall be entitled to attorney’s fees, and costs incurred in connection with collection of the account, whether or not suit is filed.

Governing Law: This agreement shall be governed by the laws of the State of California. The parties agree that jurisdiction and venue for all disputes arising from the subject matter of the contract shall be in Fresno County. Should any aspect of the agreement be unenforceable, then all other aspects shall remain valid and bindingand the provisions hereof are severable. No Obligation to Provide Goods or Service: Applicant agrees that Robert V. Jensen, Inc., will have the absolute right in its sole discretion to cease providing goods or services to the applicant at any time. Applicant agrees that Robert V. Jensen, Inc., will not be liable for any damages including consequential or incidental damages suffered as a result of the cessation of such services or the nondelivery of such goods. Maximum liability of the Seller shall be the purchase price of the goods sold. Applicant agrees recovery of the purchase price of the goods sold shall be Applicant’s sole and exclusive remedy. The Undersigned Individual who is either a principal of the credit application or a sole proprietorship of the credit applicant recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process. Applicant agrees all purchases made from Robert V. Jensen, Inc. shall be governed by the terms of this agreement.

Disclaimer of Warranties. ROBERT V. JENSEN, INC. MAKES NO WARRANTY, EXPRESS OR IMPLIED WITH RESPECT TO THE GOODS SOLD UNDER THIS CONTRACT. THE GOODS SOLD UNDER THIS CONTRACT ARE PURCHASED BY THE BUYER “AS IS” AND THE SELLER DOES NOT WARRANT THAT THEY ARE OF MERCHANTABLE QUALITY OR THAT THEY CAN BE USED FOR ANY PARTICULAR PURPOSE.

 

Applicant authorizes its Bank(s) and Creditor(s) to release credit and financial information to Robert V. Jensen, Inc. The undersigned fully understands and agrees to the above terms and conditions. A facsimile or electronic signature shall be deemed as affective as original signature.

 
 
 
 

INDIVIDUAL PERSONAL GUARANTY (required):

 
 

Your Home Address

Name on Application / Business Name

(hereinafter referred to as the “Company,” of which I am , hereby Personally Guarantee to Robert V. Jensen, Inc., payment at 4029 S. Maple, Fresno, California 93725 or Robert V. Jensen, Inc., designate, of any obligation of the Company whenever the Company shall fail to pay the same. It is understood that this personal guaranty shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the Company. I do hereby waive notice of default, non-payment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed

Guarantor agrees to pay all of Robert V. Jensen, lnc.’s costs and expenses including legal expenses incurred in connection with the enforcement of this Guarantee whether or not suit is filed.

The undersigned personal guarantor, recognizing that his or her individual credit history may be necessary factor in the evaluation of this personal guarantee, hereby consents to and authorizes the use of a consumer credit report on the undersigned, by Robert V. Jensen, Inc., from time to time as may be needed, in the credit evaluation process. It is further understood that this guaranty may be called upon for payment directly against the guarantor in the event of default by the obligor without first exhausting any other security posted for the debt or without first proceeding directly against the Company for payment of same.

 
 

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Robert V. Jensen, Inc https://rvjensen.com
Signature Certificate
Document name: Credit Application Form
Unique Document ID: 580577eb69dd087cd97d9e78dcb757a86ef0ff55
Timestamp Audit
July 18, 2019 5:25 am PDTCredit Application Form Uploaded by RV Jensen Admin - credit@rvjensen.com IP 202.8.125.170
July 30, 2019 1:43 pm PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.5.131
August 2, 2019 4:37 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.24.67
November 6, 2019 6:12 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.24.67
March 3, 2020 2:29 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 202.8.125.170
March 4, 2020 12:26 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 202.8.125.170
June 23, 2020 9:56 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 206.169.107.66
June 23, 2020 10:51 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 160.202.9.194
June 23, 2020 10:53 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 160.202.9.194
June 23, 2020 10:57 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 160.202.9.194
June 24, 2020 1:56 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 203.187.238.34
June 24, 2020 2:07 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 203.187.238.34
June 24, 2020 2:50 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 203.187.238.34
June 24, 2020 2:51 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 203.187.238.34
June 29, 2020 2:29 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 206.169.107.66
July 27, 2020 10:12 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 202.8.125.170
August 19, 2020 10:08 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 202.8.125.170
August 19, 2020 10:10 pm PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 202.8.125.170