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
