Commercial Credit Application Form
Commercial Credit Application Form
Please fill out this form to apply for commercial credit.
Applicant Information
Name
Title
Home Address
Phone Number
Business Information
Business Name
Business Address
Type of Business
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Sole Proprietorship
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Partnership
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Corporation
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LLC
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Date of Establishment
Employer Identification Number (EIN)
Credit Requested Details
Amount of Credit Requested
Preferred Payment Terms
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Net 15
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Net 30
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Net 45
Trade References
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Company Name |
Phone Number |
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Certification
By signing below, I certify that the information provided is accurate and complete, and I authorize the release of information to verify creditworthiness.
Name:
Date:
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Thank you for submitting your application!
We will review it and respond within the next few business days.
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