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Business Credit Application Form

This document is a business credit application that collects information about a business such as the business name, address, tax ID number, type of business, legal structure, principals, bank references, trade references, and a certification signed by the applicant. It requests details about the business like years in operation, parent company if a division, contact information for principals, bank accounts, credit limits and balances, as well as authorization to verify the application details.

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444 views1 page

Business Credit Application Form

This document is a business credit application that collects information about a business such as the business name, address, tax ID number, type of business, legal structure, principals, bank references, trade references, and a certification signed by the applicant. It requests details about the business like years in operation, parent company if a division, contact information for principals, bank accounts, credit limits and balances, as well as authorization to verify the application details.

Uploaded by

Prime Props
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Business Credit Application

Name/Address
Last:

First:

Middle Initial:

Title

Name of Business:

Tax I.D. Number

Address:
City:

State:

ZIP:

Phone:

Company Information
Type of Business:

In Business Since:

Legal Form Under Which Business Operates:


Corporation

Partnership

Proprietorship

If Division/Subsidiary, Name of Parent Company:

In Business Since:

Name of Company Principal Responsible for Business Transactions:

Title:

Address:

City:

State:

Name of Company Principal Responsible for Business Transactions:


Address:

City:

State:

ZIP:

Phone:

Title:
ZIP:

Phone:

Bank References
Institution Name:

Institution Name:

Institution Name:

Checking Account #:

Savings Account #:

Home Equity Loan:

Address:

Address:

Address:

Phone:

Phone:

Phone:

Company Name:

Company Name:

Company Name:

Contact Name:

Contact Name:

Contact Name:

Address:

Address:

Address:

Phone:

Phone:

Phone:

Account Opened Since:

Account Opened Since:

Account Opened Since:

Credit Limit:

Credit Limit:

Credit Limit:

Current Balance:

Current Balance:

Current Balance:

Loan Balance:

Trade References

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the
understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby
authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is
being applied for in order to verify the information contained herein.

_________________________________________________________

______________________________________

Signature

Date

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