Form 85 08/08/2013	Virginia Department of Forestry
Tree Seedling Credit Application

BUSINESS NAME:	FED. ID #:
OWNER NAME(S):	SSN:
SSN:
MAILING ADDRESS:
PHONE #:	FAX #:
EMAIL:
I hereby request credit for the purchase of tree seedlings from the Virginia Department of Forestry, subject to the following conditions:
Credit will not be granted unless the applicant's order for seedlings exceeds $5,000. Bareroot Stock - All accounts must be paid in full within 30 days after receipt of an invoice. Invoices will be sent during the month in which seedlings are picked up. Quantity Discount (Loblolly Only) - Applies only to the quantity actually received by the customer. Any decreases in quantity will reflect the appropriate price for the total loblolly quantity. Increases in Credit Limit - Credit limit increases must be approved prior to obtaining additional seedlings. Deposit/Letter of Credit - A cash payment, a payment bond from a Surety company or a letter of credit from an accredited financial institution shall be required for any amounts that exceed approved credit limit. IMPORTANT – Request only the amount of seedlings that you know that you will use. Reductions in order size not allowed after March 1 unless approved by Nursery Supervisor. The Creditor will be responsible for all seedlings requested and payment will be expected unless the Nursery Supervisor is able to sell the seedlings to another customer. There is a $60 credit application fee for pulling your credit report. The agency will pay this fee on your behalf if you purchase seedlings from our nursery within this seedling year. Any applicant who does not purchase at least 100,000 seedlings from our nursery within the seedling year will be invoiced for the $60 credit report fee. Additional credit information may be required. Upon signing below, customer authorizes the Virginia Department of Forestry to request a credit report from a credit bureau of our choice and to interview references.
SPECIES	ESTIMATED SEEDLINGS NEEDED
Loblolly Pine
White Pine
Hardwoods
Others
*This is not an order form, actual orders need to be placed directly with the nursery.
DEPOSIT AMOUNT:	CREDIT LIMIT REQUESTED:
(Attach Check if Required)
The Creditor agrees to pay the Department of Forestry within (30) days of the date on the initial billing. If payment is not received within 30 days, the Creditor agrees to pay a late payment fee of 10% per annum. In addition, if the total amount due is still unpaid within 60 days, an additional 20% penalty will be added and the matter will be referred to collection.
Owner Name	Owner Signature	Date
VDOF USE ONLY
CREDIT LIMIT APPROVED:	APPROVED BY:	DATE: