MARANDOLA FUEL SERVICE LLC
P.O. Box 867, New Milford, CT 06776 phone 860 355-4877 fax 860 355-2477
APPLICANT:_______________________________SOCIAL SECURITY #_______________
CO APPLICANT:____________________________SOCIAL SECURITY #_______________
ADDRESS:_________________________________OWN:____ RENT:_____
HOME PHONE:____________________________CELL PHONE:_______________________
PREVIOUS ADDRESS (IF LESS THEN 3 YRS)____________________________________
PREVIOUS FUEL SUPPLIER:__________________________________________________
EMPLOYMENT:_________________________________PHONE:______________________
ADDRESS:_________________________________________________________________
ADDITIONAL INFORMATION:__________________________________________________
NOTICE TO BUYER(S): YOU ARE ENTITLED TO A COPY OF THIS
AGREEMENT AND THE INFORMATION REGARDING YOUR RIGHTS TO
DISPUTE BILLING ERRORS.
BUYER(S) HEREBY ACKNOWLEDGES RECEIPT OF A TRUE COPY OF THIS
CREDIT AGREEMENT AND BILLING ERRORS INFORMATION.
NOTICE: THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT prohibits
creditors from discriminating against credit applicants on the
basis of race, sex or marital status. The Federal Agency which
administers compliance with this law concerning this creditor is
the FEDERAL TRADE COMMISSION, Washington, D.C.
Everything that I have stated in this application is correct to the
best of my knowledge. I understand that you will retain this
application whether or not it is approved. You are authorized to
check my credit and employment history and answer questions about
your credit experiences with me. I have read and agree to the
credit terms shown on pages 2-4 and have retained a copy of such
credit terms.
Applicant's Signature:_________________________________Date:____________
Co-Applicant's Signature:______________________________Date:____________
YOUR BILLING RIGHTS - KEEP THIS NOTICE FOR FUTURE USE
This notice contains important information about your rights and our
responsibilities under the Fair Credit Billing act.
Notify Us In Case of Errors or Questions About Your Bill.
If you think your bill is wrong or if you need more information about a
transaction on your bill, write us (on a separate sheet) at
P.O. Box 867, New Milford, CT 06776. Write to us as soon as possible.
We must hear from you no later than 60 days after we sent you the first
bill on which the error or problem appeared. You can telephone us, but
doing so will not preserve your rights. In your letter give us the
following information:
- Your name and account number
- The dollar amount of the suspected error
- Describe the error and explain, if you can, why you believe there
is an error. If you need more information,describe the item you are
not sure about.
If you have authorized us to pay your credit card bill automatically from
your savings or checking account, you can stop the payment on any amount
you think is wrong. To stop the payment your letter must reach us three
business days before the automatic payment is scheduled to occur.
YOUR RIGHTS AND OUR RESPONSIBILITIES AFTER WE RECEIVE YOUR
WRITTEN NOTICE.
We must acknowledge your letter within 30 days, unless we have
corrected the error by then. Within 90 days we must either correct
the error or explain why we believe the bill was correct.
After we receive your letter, we cannot try to collect any amount you
question, or report you as delinquent. We can continue to bill you for
the amount you question, including finance charges, and we can apply any
unpaid amount against your credit limit. You do not have to pay any
questioned amount while we are investigating, but you are still obligated
to pay the parts of your bill that are not in question.
If we find that we made a mistake on your bill, you will not have to pay
any finance charges related to any questioned amount. If we didn't make
a mistake, you may have to pay finance charges, and, you will have to make
up any missed payments on the questioned amount. In either case, we will
send you a statement on the amount you owe and the date that it is due.
If you fail to pay the amount that we think you owe, we may report you
as delinquent. However, if our explanation does not satisfy you and
you write to us within ten days telling us that you still refuse to pay,
we must tell anyone we report you to that, you have a question about your
bill. And, we must tell you the name of anyone we reported you to. We must
tell anyone we report you to that the matter has been settled between us
when it finally is.
If we don't follow these rules, we can't collect the first $50 of
the questioned amount, even if your bill was correct.
SPECIAL RULES FOR CREDIT CARD PURCHASES
If you have a problem with the quality of property or services that
you purchased with a credit card, and you have tried in good faith
to correct the problem with the merchant, you may have the right
not to pay the remaining amount due on the property or services.
There are two limitations on this right:
a. You must have made the purchase in your home state or, if not
within your home state, within 100 miles of your current mailing
address; and
b. The purchase price must have been more than $50.
These limitations do not apply if we own or operate the merchant, or
if we mailed you the advertisement for the property or services.
RETAIL CREDIT AGREEMENT
1. PURCHASES: We will deliver subject to availability, fuel oil at
our established price, which is determined at the time of delivery.
Deliveries will be made to you at the address shown on this agreement,
on an automatic delivery basis, unless otherwise noted on this agreement,
according to a Weather Controlled Degree Day System. A meter printed
delivery ticket will be left or mailed at the above address each time
a delivery is made. You agree to accept delivery and to pay the full
amount shown on each delivery ticket within 20 days of your invoice
billing date.
2. If you maintain a service contract with us, or if you require
service calls, repairs or maintenance, which are not covered by the
service contract, you may also charge the price of the service contract,
service calls, repairs or maintenance to your account. If you do so
you agree to pay the full amount due within 20 days from the time
the service contract, service calls, repairs or maintenance invoice
is billed to you. Service contracts that are not paid within 30 days
of billing are subject to cancellation without further notice.
3. MONTHLY STATEMENT: If you have a balance on your account form the
month prior to the current billing period, we will send you a monthly
statement. It will show separately your current purchases, your
FINANCE CHARGE, your previous past due balance, and the total balance due.
4. FINANCE CHARGES: Unless you pay the invoice bill for oil, service
or installation work by the end of the month following the month in
which you were billed initially, a FINANCE CHARGE will be added to
your account. The FINANCE CHARGE will be computed by multiplying the
net amount due on all purchases and FINANCE CHARGES from all
transactions prior to the current month by 1 1/2 % which is ANNUAL
PERCENTAGE RATE of 18%. A FINANCE CHARGE may be avoided by paying
all charges prior to the end of the month following the month of
initial billing.
5. DEFAULT AND COLLECTION COSTS: You will be in default if you do
not pay a balance on time, file for bankruptcy, or make an assignment
for the benefit of creditors. Default means we can demand immediate
payment of the full balance. If we refer collection of the balance
to a lawyer, you will pay attorneys fees of 33% of the total balance
plus court costs to include statutory interest, if applicable.
6. IRREGULAR PAYMENT AND DELAY IN ENFORCEMENT: We can accept later
payments of partial payments, or checks and money orders marked
"payment in full" without losing any of our rights under this agreement.
We can also delay in enforcing our rights under this agreement without
losing them.
7. AMENDMENT OR CHARGES: We can change this agreement including
FINANCE CHARGE and the ANNUAL PERCENTAGE RATE, at any time, provided
we give you at least 30 days notice, before the beginning of the billing
period in which the change becomes effective.
8. CANCELLATION: We or you can cancel your account at any time on
30 days written notice. You agree to remain responsible for payment
for all purchases made before the 30 day period expires. We also have
the right to cancel your account without notice if you fail to make
payments on time.
9. LIABILITY: We are not responsible for damage or loss caused by failure
to make delivery due to labor shortage, strikes, or to conditions beyond
our control. In the event of DEFAULT and we do not deliver oil as a result
of DEFAULT, we will not be liable for any damages in either direct or
indirect manner.
10. OTHER CHARGES; A BAD CHECK CHARGE of $100 will be made on your
account if a check must be re deposited twice or is drawn on a
closed account. Unredeemed bad checks will subject the maker to
immediate criminal police action.
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