Fine and Coarse Aggregates
PBM Company Store
APPLICATION AND AGREEMENT FOR CREDIT
NOTE: FAILURE TO SIGN ALL APPROPRIATE PLACES OR FILL OUT COMPLETELY WILL CAUSE DELAYS IN PROCESSING THIS APPLICATIO
Principal Place of Business (Street; No PO Boxes)
Names of Principal Owners or Officers
(Vendors you have done business with for at least one year including all material suppliers that have extended credit for at least the amount you have requested
A.Has the Company, or any officer or owner of the Company, ever done business with or applied for credit with Permian Basin Materials,LLC or any of its affiliated companies under the same or another name?
If so, when and under what name?
Has the Company of any officer or owner of the Company ever filed personal or corporate bankruptcy? If so, date of filing:
Date of discharge
Has the Company or any officer or owner of the Company ever had either a Judgment or a state or federal tax lien filed against them personally or against any business entity associated with the person?
If so, when?
Does the Company seeking credit own any real estate?
If yes, please list current address(es), market value and encumbrances on each location.
Has the Company or any officer or owner of the Company ever done business under another name in this or another state?
If yes, please explain
Cubic Yard Calculator
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