HomePartsWholesale Parts Application Parts Department - Wholesale Account Application Form Leave this field empty There are some errors in your form. Please complete all required fields with valid information. Parts Department Wholesale Application Form Company Name: required Address: required City: required State: required ZIP Code: required Phone Number: required Length of time in Business: required Owner: required Bank Name: required Point of Contact: required Number of Years doing Business with Bank: required Phone Number: required Date Business Began: required Type of Business: Corporation Partnership Sole Proprietorship Federal ID # or SSN# if Sole Prop. Type of Charge Acct: Collision Mechanical Credit Amount Requested: Oklahoma law. Oklahoma Tax Commission, Sales Tax Division Blanket Certificate of Resale This is to certify that all material, merchandise, or goods purchased by the undersigned from Jim Norton Toyota of OKC is purchased for the following purpose: Resale as tangible personal property To be incorporated as a material or part of other tangible personal property to be produced for sale be manufacturing, assembling, processing or refining To be exported for sale,use, or consumption outside the continental limits of the United States. Other This certificate shall be considered a part of each order which we shall give provided such order. Contains our certificate number. This certificate is to continue in force until revoked. Certificate Number: by: If granted credit, I agree to pay all bills on the 10th of the month following purchase All outstanding accounts at 2nd billing cycle are subject to 1.5% svc chg. At 3rd billing cycle, acct is charged additional 5% and same for every billing cycle thereafter until acct is paid in full. Signed: Position: Business Manager: Phone: Date: E-mail Address: TO BE COMPLETED BY APPLICANT 1. Business References: required Address: required City: required Phone Number: required 2. Business References: required Address: required City: required Phone Number: required 3. Business References: required Address: required City: required Phone Number: required 4. Business References: required Address: required City: required Phone Number: required 5. Business References: required Address: required City: required Phone Number: required