Free Business Credit Application

This Business Credit Application is submitted by an applicant who wants to obtain credit for his or her business. This application contains all pertinent information including the amount of credit requested, the type of business entity, ownership information and bank and trade references. This Business Credit Application also sets out in detail the necessary documentation which must be submitted with the application.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.




BUSINESS CREDIT APPLICATION
FIRM NAME: _____________________________________
TELEPHONE: _____________________________________
ADDRESS: ________________________________________
FAX: ____________________________________________
Address: _________________________________________
REQUEST:
AMOUNT OF CREDIT REQUESTED:_______________
PAYMENT PERSONALLY GUARANTEED? __________YES _________NO
IF YES BY: ____________________
POSITION: ______________________________________________________________
TYPE OF ENTITY:
________CORPORATION (if you are using a fictitious business name, please include the fictitious business name.)
________LIMITED LIABILITY COMPANY
________LIMITED PARTNERSHIP
FEDERAL TAX I.D. #:
________ PARTNERSHIP
DUNS #:
________SOLE PROPRIETORSHIP
BUSINESS START DATE:

OWNERSHIP
Name of owner:_______________________
Telephone #:__________________________
Address:________________________________

BANK REFERENCES
Name:___________________________
Account #:________________________
Telephone #:______________________
Contact Person: ____________________
Address: ________________________________

Name:___________________________
Account #:________________________
Telephone #:______________________
Contact Person: ____________________
Address: ________________________________
(Please list all and any other banks your company uses for business.)

TRADE REFERENCES
Name: _________________________________
Contact Person: __________________________
Telephone #: _____________________________
Address: __________________________________

Name: _________________________________
Contact Person: __________________________
Telephone #: _____________________________
Address: __________________________________

Name: _________________________________
Contact Person: __________________________
Telephone #: _____________________________
Address: __________________________________

DOCUMENTS
1. Corporation: Please provide a copy the articles of incorporation and including which state you are incorporated in.
2. Limited Liability Company: Please provide a copy from secretary of state of Organization papers.
3. Limited Partnership, Partnership or Sole Proprietor: Please provide a copy of your fictitious name registration.
4. All: Please provide a copy of your business license if the city you do business in if it requires a business license.

Please print full name, title/ position, date, and sign as an individual.

Name Title


Signature Date


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