We ask all new customers to fill out a credit application.
Completed forms from Indiana customers may be faxed to 812-372-6801, mailed to PO Box 1947 Columbus, IN 47202, or dropped off at 785 South Marr Road, Columbus, IN 47201.
Completed forms from Ohio customers may be faxed to 513-367-6876, or mailed or dropped off at 111 May Drive, Harrison, OH 45030.
- Individual Credit Application: If you are an individual seeking our products or services, click here to download a copy of our credit application.
- Commercial Credit Application: If you are a commercial business or organization, click here to download a copy of our credit application.
- ST105 Tax Exempt Form: Indiana registered retail merchants and businesses located outside Indiana may use this certificate to claim a sales tax exemption for valid purchases.
- ACH Authorization Form
- Indiana Form GA-110LMP (Claim For Refund): Gas use tax claim for refund.
- Employee Application: Fill out this form and e-mail it to firstname.lastname@example.org
- Input Finance Program: Click here to download our Input Financing Loan Application
- W9 Form: W9 Request for Taxpayer Identification Number and Certification