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       Tractor Supply Company® Business Account     
Secure Application
Citigroup Privacy for Consumers Online application information is kept on a secure server and protected by a firewall
    
  Card Image  Card Benefits Terms and Conditions
No Annual Fee
Easy to read, Itemized invoices
Purchase Order Number Captured
School and Government accounts

 
    

    
Before you apply...
You must be an Authorized Officer of the business to submit this application. If the information is incomplete, we may not be able to approve this application.

    
Complete the following information then print and mail (to the address) or fax (to the fax #) at the bottom of the application.

SECTION 1: ACCOUNT INFORMATION
  Account Type (choose one)
  Business/Commercial Revolving Terms
  School/Government (Full Balance Due Terms)
  Anticipated Monthly Purchase Volume  $  
  Purchase order required?    Yes  No

SECTION 2: PURCHASING METHOD (CHECK ONE)
  Card Options (choose one)
A - we would like each card requested to be issued with our company name and account number.
  B - we would like each card requested to be issued with our company name and unique account numbers.
  Number of cards needed 

    

SECTION 3: COMPANY INFORMATION
  Full Legal Business Name    
 
Doing Business As or Also Known As
(if applicable)
(as you would like it to appear on the card)
(21 character limit)
 
Business Street Address
Business Street Address (No P.O. Box)
  Suite/Apt.
  City
  State
  Zip Code
  Business Phone - -   
  Business Fax - -   
  Billing Address
(if different from above)
  City
  State
  Zip Code
  Billing Phone Number - -   

    

SECTION 4: BANK INFORMATION
  Bank Name
  City
  State

    

SECTION 5: BUSINESS CREDIT INFORMATION
  Principle Authorized Officer
  Title
  Business Email Address  
If you provide an e-mail address: (1) Citibank , N.A. may use it to contact you about your account and to send you information about products and services you might find useful; and (2) Tractor Supply Company may use it to send you news about the latest merchandise, promotions and sales at Tractor Supply Company.
  Parent Company
(if applicable)
  Parent Company Phone Number
  Parent Company Address
  City
  State
  Zip Code
  Contact Regarding Account
  In Business Since
  Taxpayer ID #
(Required)
   Lock    
  Number of Employees    
  Annual Company Revenue  
  Are you a franchise? Yes   No
  Do you operate your business from home? Yes    No
  Legal Structure
  If you are a school or Government Central   Branch

    

SECTION 6: PERSONAL GUARANTEE
This Section must be completed if your company:
 Has less than $1 million in annual sales or revenues, OR
 Is less than 1 year old, OR
 Is a partnership, sole proprietorship, professional corporation or unincorporated
  Federal law requires us to obtain, verify and record information that identifies each person who opens an account in order to help the government fight the funding of terrorism and money laundering activities. To process the application with your personal guarantee, we must have your name, street address, date of birth and other identifying information, and we may ask for identifying documents from you as well.
  First Name       MI
  Last Name
  Street Address Home Address (No P.O. Box)
  City
  State
  Zip Code
  Home Phone Number - -   
  Social Security Number  -  Lock  
 
Date of Birth
(MM/DD/YYYY)
 /    
  I agree to be liable for any unpaid amounts on this account. I authorize Citibank, N.A. to investigate my personal credit and financial records, including my banking records. I understand that Citibank, N.A. or its agent may request my personal credit bureau report in considering this application, and for the purpose of an update renewal, extension of credit, review or collection of this account. In consideration of Citibank, N.A. extending credit to applicant in order to make purchases from Tractor Supply Company under the terms of the Citibank Card Agreement which will be sent with the card if credit is granted, I agree to personally guarantee payment of the debt, including any reasonable attorney’s fees, arbitration, court or other collection costs as permitted by law and as incurred. In the event of any default I agree that Citibank, N.A. can enforce this guarantee, without first proceeding against the applicant, until the governing Card Agreement has been terminated and all amounts due have been paid. I waive all notice regarding the governing Card Agreement and this guarantee. I agree to guarantee payment even if the terms of the governing Card Agreement are changed. I understand that any negative information including failure to make required payments on the Account may be reported to the appropriate reporting agency.
 


  Signature of Personal Guarantor                   Date

    

SECTION 7: REQUIRED SIGNATURE
 
IMPORTANT: Application will not be processed without signature.
By signing below, you certify that you have read and agree to the Credit Card Disclosures, Terms and conditions of Offer, and Additional Disclosures, all of which are attached. You also agree to be bound by the terms and conditions of the Citibank Card Agreement that will be sent with the card if credit is granted and you agree to pay all charges incurred under such terms. You further certify that all of the information provided in this application is true and correct and you are authorized to sign this application on behalf of the applicant.
 


  Signature of Authorized Officer                       Date
  Enter Name
  Enter Title

    

SECTION 8: TAX EXEMPTION
 
If you are entitled to a sales tax exemption, please complete the following information and ATTACH A COPY OF YOUR SALES TAX EXEMPTION CERTIFICATE TO THIS ACCEPTANCE FORM (AGRICULTURE Please enter social security number on tax exempt line). Please tape (rather than staple) the certificate to the inside of this application to make sure a copy of your Sales Tax Exempt Certificate does not fall out during return mailing. We will not be able to qualify you as a tax-exempt customer unless all of this information is provided.
  Company Name (Buyer)
  Taxpayer Identification Number(TIN) Lock  
  Address
  City
  State
  Zip Code
  Registered Business Activity
  If you selected Other, please describe
  General description of products to be puchased from Seller:
  Buyer certifies that if any property so purchased tax free is used or consumed by the company as to make it subject to a Sales or Use Tax Buyer will pay the tax due direct to the proper taxing authority when state law so provides or inform Seller for added tax billing. This certificate shall be part of each order which Buyer may hereafter give to Seller, unless otherwise specified, and shall be valid until canceled by Buyer in writing or revoked by the city or state. Under penalties of perjury, Buyer affirms that the information on this form is true and correct as to every material matter.
 


  Authorized Signature (Owner, Partner or Corporate Officer)
   
  Enter Title
  Enter Date - -   
* I confirm that I have read and agree to the terms set forth in the Additional Disclosures and the Terms & Conditions,which contain important rate, fee and other cost information.

 
 
  Mail completed application to:
Tractor Supply Company
Attn: TSC Business Accounts
PO Box 7006
Brentwood, TN 37024-9964

  OR Fax completed application to:
Tractor Supply Company
1-615-484-4249
 
  You are on a Citibank Website and subject to Citibank's privacy and security policies. If you leave this site and return to the site or go to another third party site, you will then be subject to the privacy policies of those sites. Those sites may also provide less security than this Citibank site. Citibank and its affiliates are not responsible for the products, services, and content on the third party website.
Online application information is kept on a secure server and protected by a firewall