Home
Contact Us
Our Fleet
News & Articles
Driver App
Credit Options
Riccelli Enterprises, Inc. Credit Application
Office
315-433-5115
Fax
315-433-1920
Company Info:
Corporation
Partnership
Sole Proprietorship
Year Established:
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Estimated Sales Amount:
Business Name:
Business Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Business Phone:
Ext:
Business Fax:
Alt Phone:
Names of Officers, Partners or Proprietor:
Name 1:
Title:
Name 2:
Title:
Name 3:
Title:
Name 4:
Title:
Credit Info:
Social Security# / Federal ID#:
Credit Line Requested:
Do you require a purchase order?
No
Yes
(If so, you must provide a P.O. Number at time of purchase)
Sales Tax:
If you are exempt from NYS Sales Tax, the law requires you to provide an exemption certificate to be returned with this application.
If you are working on certain jobs that are tax exempt, the proper certificate must be provided to Riccelli Enterprises, Inc. for each job.
Reference Info:
Bank Name:
Bank Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Contact Name:
Contact Phone:
Ext:
Trade References: (Affiliated companies connot be considered as a trade reference.)
Name:
Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Contact Phone:
Ext:
Name:
Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Contact Phone:
Ext:
Name:
Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Contact Phone:
Ext:
Name:
Address:
City:
State:
---
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code:
Contact Phone:
Ext:
Terms and Conditions:
Terms and conditions of sale: The undersigned agrees to pay for all billing according to the terms of the creditor which are "NET 30 DAYS" from the date of invoice. In the event that payment is not made within 30 days of the date of invoice interest will be imposed on the invoice balance at the Annual Interest Rate of 18% and added to the amount due. No terms or conditions of purchase orders different from the terms of creditor will become part of any sales agreement, purchase order, or other document unless specifically approved in writing by creditor. On request, the undersigned agrees that the continued solvency of the undersigned is a precondition to any sale made by creditor. The undersigned agrees to provide the creditor with a statement representing that the undersigned is and remains solvent. The undersigned acknowledges and agrees that the creditor may utilize outside credit reporting services to obtain information on the undersigned. The laws in the state where the material and/or service is actually sold or preformed shall be applicable to all suits arising under any agreement between the undersigned and the creditor.
In the event that Riccelli Trucking, Inc. are required to take action, in their sole discretion, to enforce the collection of payment of any invoice or payment due by the applicant, the applicant shall be liable for all collection fees, including reasonable attorney fees and costs for such action wether formal legal action is commenced or not.
The person signing this application certifies that all of the information contained in this application, and any attachment is true and correct to the best of their information, knowledge and belief. Applicant, in submitting this application for the purpose of obtaining credit, authorizes Creditor Company to contact the above references to obtain any information pertaining to the applicants credit worthiness.
To induce creditor to extend credit to applicant, if applicant is a corporation or partnership, or agent of the applicant hereby agrees that by execution of this credit application on behalf of the applicant, he or they are personally liable, jointly and severely with the applicant, as guarantor(s) for the payment of all indebtedness and liabilities of the applicant owes to creditor, demand for payment and notice of indebtedness and default are expressly waived.
Signature:
Document to be electronically signed by officer of company.
By checking the following checkbox, you are in agreement with the terms and conditions stated within this document. If you are not authorized to sign this document, please do not continue.
Signer's Title:
Electronic Signature