BUSINESS CREDIT APPLICATION

 

Business Name:  _____________________________________________________

Type of Business:    Limited Partnership _____    Sole Proprietorship _________

                                            General Partnership _____    Corporation _______________

Federal ID# or Social Security #:  ____________________________

Address and Phone:  _____________________________________________________ ______________________________________________________________________

 

Owner/President: _______________________________________________________ Address and Phone: _____________________________________________________ _____________________________________________________________________

 

Date Business Started: _____________________

 

Amount of Credit Requested: ________________

Bank: ____________________ Account #: ________________________

 

Credit References:                                                                            Trade References:

____________________________                                           _____________________________ ____________________________                                                                                                            _____________________________ ____________________________                                                                                                            _____________________________

____________________________                                           _____________________________

____________________________                                           _____________________________

 

Have you ever been a defendant in a lawsuit?

Yes ____  No ____

If yes, list and describe the lawsuits: ______________________________________________________________________

______________________________________________________________________

The undersigned consents to the release of credit history.  We recognize that if credit is extended, it may be canceled without notice.

 

 

____________________________                                           _____________________________

Borrower                                                                                            Date