Credit Application Have your own documents, upload here: Company Name: Billing address: City: State: Zip: Phone: Tax ID No.: No. of years at present location: Business type: Corporation: Partnership: Proprietorship: Franchise: Names of Qwner(s) and/or Officer(s): CoIf Division/Subsidiary, Name of Parent Company: Bank Information: Bank: Bank address: City: State: Zip: Bank contact: Phone: REFERENCES: Company: Contact: Email: Company: Contact: Email: Company: Contact: Email: The above information is intended for the purpose of obtaining credit and is warranted to be true. I/We authorize our bank and suppliers to furnish you an information necessary to complete our credit history. The purchaser accepts responsibility for, and agrees to pay, any and all applicable sales and use taxes directly to the proper authority for goods not held for resale except as exempted. Signer personally guarantees full payment of any debt owed. Authorized Signature : Title: Date:
