Sample Credit Application - Free Download
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COMPANY NAME: _________________________________________________ PHONE: _______________________
STREET ADDRESS: _______________________________________________ FAX: __________________________
CITY: _______________________________________ STATE: ____________ ZIP: ___________________________
BILLING ADDRESS (IF DIFFERENT FROM ABOVE): _____________________________________________________
CITY: ______________________________________ STATE: ____________ ZIP: __________________________
EMAIL: _____________________________________ CREDIT LINE SOUGHT: _______________________________
COMPANY IS A:
CORPORATION PARTNERSHIP PROPRIETORSHIP L.L.C. P.L.C.
CORPORATE REGISTRATION NO. _______________ V.A.T. NO. ___________ ANNUAL SALES ________________
ARE FINANCIAL STATEMENTS AVAILABLE
YES NO # YEARS IN BUSINESS __________________
NOTE: IF IN BUSINESS LESS THAN FIVE YEARS, YOU MUST COMPLETE PERSONAL GUARANTEE
NAME 1: __________________________________________________________ TITLE: ________________________
HOME ADDRESS: __________________________________________________ PHONE: _______________________
NAME 2: __________________________________________________________ TITLE: ________________________
HOME ADDRESS: __________________________________________________ PHONE: _______________________
NAME 3: __________________________________________________________ TITLE: ________________________
HOME ADDRESS: __________________________________________________ PHONE: _______________________
BANK NAME: _____________________________________________________ ACCOUNT #: ___________________
BRANCH ADDRESS: __________________________ CITY/STATE/ZIP: _____________________________________
BANK CONTACT NAME: ____________________________________________ PHONE: _______________________
VENDOR 1: __________________________________ CONTACT: __________________________________________
PAYMENT ADDRESS: _________________________ CITY/STATE/ZIP: _____________________________________
PHONE: _____________________________________ FAX: ________________ ACCOUNT #: ___________________
VENDOR 2: __________________________________ CONTACT: __________________________________________
PAYMENT ADDRESS: _________________________ CITY/STATE/ZIP: _____________________________________
PHONE: _____________________________________ FAX: ________________ ACCOUNT #: ___________________
VENDOR 3: __________________________________ CONTACT: __________________________________________
PAYMENT ADDRESS: _________________________ CITY/STATE/ZIP: _____________________________________
PHONE: _____________________________________ FAX: ________________ ACCOUNT #: ___________________
SAMPLE CREDIT APPLICATION
COMPANY DIRECTORS/OFFICERS/PRINCIPAL
BANKING DETAILS
TRADE REFERENCES
