Credit application form is used by companies to determine whether they are going to offer credit services to prospective clients or not. Portraying that you have a good credit history will help you in getting credit. However, you should not falsify information so as to get credit.
The undersigned is applying for credit with (Name of company) ______________
Name of company: _________________________________________________
Address: _________________________________________________________
Telephone no: ___________________ Fax: _____________________________
E-mail: __________________________________________________________
Social security ID: _________________________________________________
VAT no. ________________________________________________________
Type of business: __________________________________________________
Date business was established: _______________________________________
Which state was the business established in? _______________________________
No of Employees: _________________________________________________
What products will you purchase with the credit? _________________________
________________________________________________________________
________________________________________________________________
Amount of credit requested for: $______________________________________
________________________________________________________________
Have you or any of your affiliates had credit from us before?
Yes________
No_________
If yes, under whose name? __________________________________________
________________________________________________________________
Name of person acting on your behalf: _________________________________
_________________________________________________________________
Telephone: _______________________________________________________
REFERENCES
Name and address of referee 1: ________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Name and address of referee 2: ________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
BANK REFERENCE
Account no: ___________________________________________________
Bank/branch: __________________________________________________
Address: ______________________________________________________
_____________________________________________________________
Telephone no: __________________________________________________
SIGNATORY
Signature: (by an authorized signatory): _______________________________
Position: _______________________________________________________
Date: __________________________________________________________
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