Open Account Residential

Residential Credit Application

Please be sure to read the Terms and Conditions below before submitting this application.

Please fill out all fields.

About You:

Full Name:

Social Security #:

Mailing Address:


State & Zip Code:

Years There:

Do you own or rent?
Own    Rent
Home Phone:



Spouse Name:

Spouse Social Security #:

Delivery Address:
(If different than mailing)


State & Zip Code:

Coupon Code:


About Your Work:




State & Zip Code:

Employment Status:
Full Time    Part Time

Salary per month:

Years there:

Business Phone:

Spouse's Employer:



State & Zip Code:

Employment Status:
Full Time    Part Time

Delivery & Burner Service:

Tank Size:

Last Year's Usage:
Square Feet of House:

Number of Floors:

Number of Residents:

Method of Delivery:
Automatic - preferred
Will Call
Tank Location:
(facing house)

Last Delivery Date:

Gallons Delivered:

Domestic Hot Water
Heated With:
Fuel Oil
Natural Gas
Previous Fuel Supplier:

House Description,
Special Instructions to Add:


Above Ground Tank Inspection:

All new customers with an aboveground tank are required to have a tank inspection no earlier than four (4) days after the submittal of this application. Please choose from the following dates to have one of our technicians perform this inspection. If you need to have your tank inspected prior to an available date shown here, please call our service department at 845-265-4024.

Terms & Conditions

By clicking on the submit button below, you verify that you have read and fully understand the Terms and Conditions of this agreement:

1. All sales are expressly conditional on Buyer's agreement to the standard terms and conditions hereinafter set forth. No additional or different terms apply unless expressly agreed to in writing by Downey Energy ("Seller"). Seller hereby gives notice of its objection to any different or additional terms. The terms and conditions contained herein shall be binding upon the initial order and upon all future orders.

2. New Customers ("Buyers") will be required to pay c.o.d. for all initial orders. All accounts must have an approved current credit application on file. If an account has been inactive for over a year, Buyer must furnish Downey Energy with a new credit application upon request. Applications for credit may take five (5) working days to be reviewed and approved by Seller's credit department. Any credit application that is faxed to Seller's Office must be followed up with the original credit application, executed in ink, being delivered to Seller before credit will be issued.

3. All sales are made f.o.b. destination when delivered by Downey Energy unless otherwise agreed by Seller. Buyer has risk of loss after delivery by Seller. When delivery is by common carrier f.o.b. point of shipment, reasonable shipping instructions given by Seller to carrier shall be deemed to have been given to the carrier as agent for the Buyer.

4. Once credit has been issued, payment in full must be made no later than 30 days from the date of invoice and failure of Buyer to make timely payments shall constitute a default. Any invoice unpaid after 30 days shall be subject to a finance charge of 1.5% per month on amounts outstanding beyond credit terms.

5. Price quotations will not contain any local, state and or federal tax unless specifically requested by Buyer in writing. Taxes and freight charges shall be added as applicable.

6. If in Seller's sole judgment Buyer's credit shall become impaired at any time, Seller shall forthwith have the right to decline to make shipments hereunder except for cash on delivery until such time as Buyer's credit has been reestablished to Seller's satisfaction. Seller, to the full extent permitted by law, reserves the right to reclaim goods where the Buyer's credit has become impaired.

7. In the event Buyer defaults in payment of any invoice, all remaining invoices plus all finance charges shall immediately become due and payable without notice, together with, in the event an attorney is used to effect collection, 33 1/3% of the balance due as reasonable attorney's fee. Buyer waives the right to interpose or assert any action or arbitration.

8. The goods sold hereunder are sold with all faults and "as is". All warranties, express or implied, including any warranties of merchantability, usage of trade and fitness for a particular use are disclaimed. Seller hereby disclaims any liability for defects, of any nature whatsoever, including design defects and malfunctions that relate to performance or safety. The only warranty applying to products sold by Seller, is the warranty provided by the manufacturer, if any.

9. Shipping dates and times are approximate. Orders are accepted with the understanding that Seller will make a best faith effort but is not obligated to make deliveries by any specific dates and assumes no liability for damages due to delay in filling same. If delivery dates are specific, they cannot be guaranteed and are estimates only. Seller shall not be liable for late deliveries or non-deliveries due to fires, floods, wars, governmental action, civil commotion, strikes, labor trouble or shortage, inability to procure deliverable goods, breakdown of machinery or equipment, acts of God or any other cause beyond Seller's direct control. If by reason of any such cause provided herein the Seller's supply and materials specified in Buyer's order shall be limited, Seller, shall have the right to allocate its available supply to any other purchaser(s) without liability.

10. Orders must be canceled prior to shipment by Buyer and agreed to by Seller. If orders ship prior to cancellation or orders cannot be delivered on the first attempt and subsequent attempts a shipping charge of 10% of the sale price and/or not less than $90.00 will be billed for each occurrence and payable within credit terms.

11. No sales representative of Seller or Buyer has the authority to alter, vary or waive any of the terms and conditions contained herein.


  • Do not submit this credit agreement before you read it.
  • You are entitled to a completely filled in copy of this credit agreement.
  • You may at any time pay any part or all of your indebtedness under this agreement.

Please check the checkbox to verify: