BUSINESS CREDIT APPLICATION AND AGREEMENTBusiness Credit Application and Agreement • March 12th, 2021
Contract Type FiledMarch 12th, 2021Section A – Applicant Information Legal Business Name Business Phone No. Fax No. DBA “Doing Business As” (if applicable) Contact Name & Email Address (if available) Business Street Address City State Zip Description of Business Yrs in Business State of Incorporation/Organization/Formation ! Proprietorship ! Corporation ! General Partnership ! Limited Partnership ! Limited Liability Company (LLC) Federal Tax ID No. Tax Exempt? (if so, provide certificate)! Yes ! No Section B – Personal Information: Officers, Managers, Members, Partners, Authorized Representatives and/or Guarantors Name % Ownership Title Social Security No. Home Address City State Zip Name % Ownership Title Social Security No. Home Address City State Zip Name % Ownership Title Social Security No. Home Address City State Zip Name % Ownership Title Social Security No. Home Address City State Zip Section C – Bank and Trade Reference Information Bank Name City State Zip Phone No. Fax No. Account No. Officer’s Name Trade Refe