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4 Detail and Best Business Credit Application Samples,Templates and Format

Business Credit Application Sample and Format

CONTACT INFORMATION
YOUR NAME TITLE
EMAIL PHONE
BUSINESS INFORMATION AS REGISTERED
COMPANY NAME
ADDRESS PHONE
CITY STATE ZIP CODE
LENGTH OF TIME AT CURRENT ADDRESS:          ______ YEARS     ______  MONTHS
TYPE OF BUSINESS :  SOLE PROPRIETORSHIP   |    PARTNERSHIP   |   LLC   |   CORPORTATION   |   OTHER
BANK INFORMATION
BANK NAME CONTACT NAME
ADDRESS PHONE
CITY STATE ZIP CODE
TYPE OF ACCOUNT ACCOUNT NUMBER
SAVINGS
CHECKING
OTHER
BUSINESS REFERENCES
Please provide us at least three other companies your business has established credit with previously
1 | COMPANY CONTACT NAME
PHONE EMAIL
ADDRESS TITLE
CITY STATE ZIP CODE
COMMENTS
2 | COMPANY CONTACT NAME
PHONE EMAIL
ADDRESS TITLE
CITY STATE ZIP CODE
COMMENTS
 Continue on to next page …

 PAGE 1 OF 2

BUSINESS REFERENCES
Continued  from previous page …
3 | COMPANY CONTACT NAME
PHONE EMAIL
ADDRESS TITLE
CITY STATE ZIP CODE
COMMENTS
4 | COMPANY CONTACT NAME
PHONE EMAIL
ADDRESS TITLE
CITY STATE ZIP CODE
COMMENTS
CREDIT AGREEMENT
 

1 | All invoices must be paid within 30 days of the date issued

2 | Any claims regarding an invoice issued must be made within 7 days of the date issued

3 | You authorize inquiry into the banking and business references provided within this application

 

 

COMPANY REPRESENTATIVES
1 | SIGNATURE TITLE
NAME DATE
2 | SIGNATURE TITLE
NAME DATE
NOTES & COMMENTS

PAGE 2 OF 2

Source | Download: Doc or PDF

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Business Credit Application Form

COMPANY DETAILS

Name of business: _______________________________________________

Address: _______________________________________________________

Telephone: ________________________ Fax: _________________________

Contact person: ___________________________________________________

Social security No: ________________________________________________

Date when the business was started: _______________________________________

What type of business are you into?

Partnership ____________________

Corporation ____________________

Sole Proprietorship______________

Other ____________________

If you are a Sole Proprietorship, are you tax exempt?

Yes ________

No_________

Amount of money you are requesting for: ______________________________________

________________________________________________________________________

REFERENCES

Referee 1: Name: _________________________________________________________

Telephone: _____________________________________________________

Address: _______________________________________________________

Referee 2: Name: _________________________________________________________

Telephone: _____________________________________________________

Address: _______________________________________________________

Referee 3: Name: _________________________________________________________

Telephone: _____________________________________________________

Address: _______________________________________________________

Bank references

Name of bank 1: ___________________________ Branch: ______________________

Contact person: ________________________________________________________

Account no: ________________________________ Telephone no._________________

Name of bank 2: ___________________________ Branch: ______________________

Contact person: ________________________________________________________

Account no: ________________________________ Telephone no._________________

Are there any pending lawsuits against the company? ______________________________________________________________________

_______________________________________________________________________

I 24 hour cialis have read and understood the terms and conditions

Name: _____________________________ Signature: __________________________

Date: _____________________________

Source

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Sample Credit Application for a Business Account

Source

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Business Credit Application Sample

Business Name: _________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________
Owner/Manager _________________________________

How long in business ____________ D & B Rated ______

Trade References: 
1.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

2.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

3.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

4.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

Bank References: 
1.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

2.) Name: ______________________________________ 
Address: _______________________________________
 ______________________________________________
City: _______________________  State: _____________
Zip Code: ______________ Tel. No. _________________

Credit line requested $_____________________________ 

Pending lawsuits against Company: __________________ 

The undersigned authorizes inquiry as to credit information. 
We further acknowledge that credit privileges, if granted, 
may be withdrawn at any time. 

______________________________
  [clearly print name after signature]

Source

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