COMMERCIAL CREDIT APPLICATION

For the purpose of obtaining credit, this information is submitted as of (Date)_________.

All Decisions with respect to the extension or continuation of credit shall be a the sole discretion of Lamar Fuel Oil L.L.C.

TYPE BUSINESS	Corporation:
	Partnership:
	Proprietorship:
	Government:

SECTION 1

Business Name

Doing Business As:
Business Address:
City/State/Zip:

Telephone:

FAX:

Billing Address:

City/State/Zip:

Line of Credit Request:$

Estimate Monthly Purchase (in gallons):

#3 SULFUR:

#2 SULFUR:

OTHER:

Have you ever filed Bankruptcy?:

r YES, CASE NO.

,r NO

TAX EXEMPT:

r YES, (If yes attach certificate)

r NO

Federal Tax ID:

Date business began, or if currently a partnership or corporation, date formed or incorporated, Date:

SECTION 2 CORPORATION

Chartered in the state of:

Name and Title of each principle:

SECTION 3 PARTNERSHIP

Legal Name of partnership:	r Type of partnership: General	r Limited

List name, residence and social security number for each partner below:

Name:

Address:

City/State/Zip:

Social security No:

Name:

Address:

City/State/Zip:

Social security No:

BANKING REFERENCE

Bank name:

Bank Contact:

Bank address:

Phone Number:

City/State/Zip:

Checking Acct No:

Saving Acct No:

I agree that all the information is correct and if any changes in ownership or the legal
status/structure of the aforementioned business changes, you will contact Lamar Fuel Oil L.L.C.
by certified mail with in 3 days of changes.

Signature:

Date:

ELECTRONIC FUND TRANSFER AUTHORIZATION DEBIT/CREDIT AGREEMENT


(Customer name)	(Telephone)	(Fax)

(Customer Address)


(City)	(State)	(Zip)