340 4th Street
Ewing, NJ 08638-2750

800-400-7154

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Commercial Credit

FORM VOID UNLESS COMPLETE INFORMATION IS SUPPLIED

If sales tax exempt, please complete and submit appropriate Tax Exemption Form
Bank References
We authorize you to release information concerning the noted account(s) with your bank/company to Hough Petroleum for the purpose of credit verification.

The undersigned individual(s) who is either a principal of the credit applicant, or a sole propriertorship of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.
Credit References


Customer Survey - Please Complete