make a detailed explanation of the important section of the CREDIT APPLICATION FORM

Credit Application Example

CREDIT APPLICATION

Date ____________________ Credit Limit Requested: _____________

Company Information

Full Legal Name ______________________________ Phone #___________________

Address ____________________________________ Email ____________________

City _______________________________________ Zip Code __________________

Type of Company _____ Sole Proprietor _____ Corporation

_____ Partnership _____ Limited Liability Company

_____ Other (specify) ____________________________________

Business ID # or Social Security Number____________ How long in business? ______

State where incorporated ________________________ Number of Employees ______

Ownership Information

Please complete the below information for all officers, partners, members and owners. Please attach a separate sheet of paper if more space is required.

Name	Title	Ownership	Home Address	Phone Number

Bank References

Name of Bank:__________________________________________________________

Bank Address: __________________________________________________________

Phone Number:__________________________________________________________

Contact Name:__________________________________________________________

Account Number:________________________________________________________

Type of Account:________________________________________________________

Cont.

Trade References

Please list three significant business relationships.

Name	Address	Phone Number

Mortgage Holder/Landlord Information

Do you rent or own premises that the business occupies?______________________

Years at Location:_____________________________________________________

Mortgage Holder/Landlord Name:________________________________________

Address:_____________________________________________________________

Contact Person:_______________________________________________________

Phone Number:_______________________________________________________

(1) Has the company or any officer, partner, member, or owner ever filed for bankruptcy? Yes/No (If yes attach detail)

(2) Has your company or any company that any officer, partner, member or owner been associated with as an officer, partner, member, or owner ever had credit with us before? Yes/No (If yes under what name____________________________________).

By signing below, I certify that I have the authority to bind the company to this agreement, and that I agree to creditors terms of sale of _________________________. I also agree and accept that the credit limit and credit terms may be changed or withdrawn at the sole discretion of the creditor. Creditor shall include creditor subsidiaries related companies and assigns.

The information gives herein is offered as part of a request by the application for an extension of credit for commercial business use. The information provided is represented by the application to be true, correct, and complete. The Application authorizes Creditor to investigate all credit reference and other sources pertaining to our credit and financial responsibility. The undersigned authorizes its banks and trade creditors to provide Creditor with complete information for the purpose of credit evaluation. The applicant understands that all past due balances will be subject to a _____ per month finance charge. The applicant further agrees to pay a _____ collection charge in the event of default if the account is placed with a collection agency or attorney.

Applicant Company Name:_________________________________________________

Signature:__________________ Title:__________________ Date:________________

Print Name:____________________________________________________________

Personal Guarantee

In consideration of any credit extended, the undersigned will personally guarantee full and prompt payment of all indebtedness of ________________ owed to _______________ . This personal guarantee shall remain in force until its Revocation shall not affect indebtedness incurred prior to receipt of written notice. This guaranty shall be limited to amounts not exceeding _______________ for a duration of not more than __________ years from the date it is signed:

Individual Signature:________________________ Date:______________________

Print Name:________________________ Social Security Number_______________