Lowe's Accounts Receivable Credit
Account Application
 
  This form is designed to be filled out by you online and then printed. To shorten response time, please carefully and completely answer all questions and then sign and date the application. Once complete, you may submit by fax, mail or return to your nearest Lowe's:  
     
 
Fax
  1-877-969-9235
APPLICANT: Please read the following before completing this form. (1) Applicant represents that the information given in this Application is complete and accurate and authorizes us to check with credit reporting agencies, credit references and other sources we deem appropriate in investigating it. (2) Signatory must be a proprietor, general partner or officer of the company with authority to enter into contractual agreements to borrow money. (3) The Personal Guaranty section (Section 4) must be completed by an owner/officer or other authorized individual. (4) Please read the attached key credit terms and sign below before submitting your application.
Mail
  Lowe's Business Credit
PO Box 98119
El Paso, TX 79998-9821
In-Store
  Visit Customer Service or
Commercial Service desk
at your nearest Lowe's
     
 
     
 
  SECTION 1 - Choose Your Account
Is your business tax exempt?   Yes   No
(If yes, please complete tax exempt form available at Customer Service Desk.)
   
Please check below and complete Section 6 if this account will be used for
one of the following purposes:
Job Accounting (purchases will be tied to a particular job or property)
Building & Loan (Construction of a primary residence)
Will this account be used for new
construction?
 
Yes No
Is a PO required with account purchases?
No Yes
If you want to limit single purchase amount enter the amount here:
$
Enter additional purchasing instructions, if any:
Please provide the full name of each Authorized Buyer, including yourself.
(Indicate if you want a Buyer ID card issued for each Authorized buyer):
  Send Buyer ID Card   Send Buyer ID Card
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
SECTION 2 - Company Information
Company Full Legal Name * (* Required Field)
(Account will be set up in this name)

DBA Name (If different than Legal Name)

Address - Street Name * (PO Box not accepted)
Year Business Started*
City *
State *
Zip *
Phone *
( ) - Ext:
Tax ID or FEIN Number **
Number of Employees *
Name of Parent Company (If any)
D&B (Duns#)
Experian #
Business Type:
Corporation Proprietorship Partnership Government   Non-Profit Limited Partnership
Business Description:
 Construction   Repair/Remodel   Specialty Trade   Property Mgt. Retail Govt./School/Org.
Business   Other
**Required by USA Patriot Act. Social Security # may be provided if business is a sole proprietorship and you do not have a Tax ID.
SECTION 3 - Billing Information
Billing Contact Name *
   
Billing Address - Street Name * (Please enter even if same as above)
 
Billing City *
Billing State *
Billing Zip *
Phone *
( ) - Ext:
Fax
( ) -
Billing Contact E-Mail
SECTION 4 - Personal Guaranty
 
To be completed if in business less than three (3) years if business is a partnership or proprietorship or if requested by Lowe's’s if you sign this section of the Application, you agree to jointly and severally, unconditionally personally guarantee the performance of all obligations under, and the payment upon demand of all amounts due on, the Lowe’s Business Revolving or Lowe's’s Accounts Receivable Account that is opened with this Application, without requiring us to first pursue the buyer also liable on the Account. You also waive any notices regarding the governing credit agreement or this Guaranty. This Guaranty shall be in effect until the Agreement has terminated and all amounts due thereunder have been fully paid. Guarantor agrees that if the Account is not paid as agreed, the creditor may report Guarantor’s liability for and the status of the Account to credit bureaus and others who may lawfully receive such information. You also understand and agree that your personal credit will be used in making credit decisions on the Account and consumer reports and other inquiries regarding your credit may be obtained from time to time by the creditor or any assignee in connection with the Account.
  1)   Business Principal ? *
Yes No
Guarantor's Title*
  First Name*
MI
Last Name*
Home Address * (Street Name and Number Required)
City *
State *
Zip *
Home Phone *
( ) -
Social Security Number*
- -
Date of Birth*
mm /DD/yyyy
Annual Income*
$ .00
Alternate Phone Number
( ) -
X
PERSONAL GUARANTOR SIGNATURE                                                             DATE
2)    First Name*
MI
Last Name*
     
Home Address * (Street Name and Number Required)
City *
State *
Zip *
Home Phone *
( ) -
Social Security Number*
- -
Date of Birth*
mm /dd/yyyy
Annual Income*
$ .00
Alternate Phone Number
( ) -
X
PERSONAL GUARANTOR SIGNATURE                                                               DATE
SECTION 5 — Required Signature of Authorized Officer/Owner
(This section must be completed.)
NOTICE TO BUYER:(1) DO NOT SIGN THIS APPLICATION BEFORE YOU READ IT OR IF ANY SPACES INTENDED FOR THE AGREED TERMS ARE LEFT BLANK. (2) YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THE AGREEMENT. (3) YOU MAY AT ANY TIME PAY THE TOTAL BALANCE
UNDER THE AGREEMENT. By signing below on behalf of your business, you are applying for the type of Account you have selected in Section 1, but if you have not made a selection, for a Lowe's’s Business Revolving Credit Account. You represent that your business is a valid business entity, all purchases made on this Account, if approved, will be for business purposes and not for personal, family or household use and you are an authorized representative of the business with authority to enter into contractual agreements to borrow money. On behalf of the business, you certify that all information provided in this Application is complete and accurate, you agree to be bound by the terms of the credit agreement governing your Account, and you authorize us and our assignees to obtain information about you personally (whether or not you have personally guaranteed the Account) for purposes of updates, renewals or extensions of credit granted as a result of this Application, or in receiving or collecting the Account. You also understand that credit on this Account, once approved, will be extended by, or interests in the indebtedness on your Account may be assigned to, Synchrony Bank Financial Inc. and that there is no
binding contract between us until your Application is approved. The undersigned acknowledges receipt of the Lowe’s Business Revolving Credit Account Agreement, if applying for a Lowe’s Business Revolving Credit Account, or a Lowe’s Accounts Receivable Agreement, if applying for a Lowe’s Accounts Receivable Account in either case, which is made a part of this application. You understand that if you apply for a Lowe’s Accounts Receivable Account, Lowe’s or its assignee may have the right to place a materialman’s lien on the property to which the purchases on the Account were delivered and/or incorporated. Federal law requires us to obtain, verify and record information that identifies you when you open an account. We will use your name, address, taxpayer ID# and other information for this purpose.
X
SIGNATURE OF AUTHORIZED OFFICER/OWNER
 
Authorized Representative Name Printed*
 
  Federal law requires us to obtain, verify and record information that identifies you when you open an account. We will use your name, address, taxpayer ID# and other information for this purpose. One form of ID must be a Photo ID.
  Photo ID * Secondary ID*
 
Drivers License # (Or State/Military Photo ID #)*


Bank or Credit Card #, Drivers License, State/Military ID Number*

  Photo ID State *
Secondary ID State *
  Photo ID Expiration Date*
mm /dd/yyyy


Secondary ID Expiration Date*
mm /dd/yyyy

     
SECTION 6 — Complete for New Construction LAR & Job Accounting and Building & Loan Accounts
For New Construction LAR & New Construction Job Accounting, bolded fields are required in the Project, Property & General Contractor sections. For Building & Loan Accounts all fields are required in the Project and Banking sections.
PROJECT INFORMATION
Project Name*
Project Street Address* (Street Name and Number Required)
City *
State *
Zip *
PROPERTY INFORMATION
Property Owner Name*

Owner Phone NO*
( ) -
Property Street Address* (Street Name and Number Required)
City *
State *
Zip *
GENERAL CONTRACTOR INFORMATION
General Contractor Name*

General Contractor Phone NO*
( ) -
General Contractor Address* (Street Name and Number Required)

Contract No*
City *
State *
Zip *
BANK INFORMATION
Bank Name*
Bank Street Address* (Street Name and Number Required)
City *
State *
Zip *
Bond Company
   
 
Please double check and then print this form
To shorten response time, please carefully and completely answer all questions and then sign and date the application. Once complete, you may submit by fax, mail or return to your nearest Lowe's