RESIDENTIAL CREDIT APLICATION

LAMAR FUEL OIL L.L.C.
150 South Street, Suit # 104 | Annapolis, Maryland 21401-2640 | 410.280.5363


CREDIT APPLICATION AND CONTRACT TO PURCHASE FUEL OIL THROUGH TEMPRATURE CONTROL DELIVERIES
Name of Application
First Middle Last Soc. Security No. D.O.B
Address:
Street No. City State Zip
RENT/ OWN
Years
Previous Address(if less than 2 years)
Street No. City State Zip
Co-Applicant
First Middle Last Soc. Security No. D.O.B
Address:
Street No. City State Zip
RENT/OWN
Years
Home Phone:
Work Phone:
Alternate Phone:
Applicant Employment:
Address:
Years w/ company:
Position:
wk Phone:
Co-Application Employment:
Address:
Years w/ company:
Position:
wk Phone:

Type:

Oil
Oil Service
Service Only
Hot water Oil Heat
Fill Location
Tanks Capacity
Tank is: Int
Ext
Flat
Undrgrnd
Annual Usage
K Factor
Gal In Tank
DD Due
# of Heated Rooms
Equip Brand
Ac Reason

SERVICE PLAN:

Prestige
Advantage
$ per Gal
Price PD

BUDGET PLAN:
Amount
Day of month for pymt
# of months
Start Date


We may order a consumer report in connection with this credit application and subsequent consumer reports and in connection with renewing, up dating, and reviewing existing or for future extension of credit. The Federal Equal Credit Opportunity Act prohibits us from discriminating against you in any way in the granting of credit.

I/We acknowledge everything stated in this application is correct to the best of my/our knowledge. I/we understand that will retain this application whether or not it is approved. You are authorized to check My/our credit and employment history and to answer question about your credit experience with me/us.

Applicant Signature:
Date:

Co-Applicant Signature:
Date: