Free Online Legal Forms from All Law - Information - Credit and Collections Documents - Open Account Credit Application

OPEN ACCOUNT CREDIT APPLICATION

 

Business Name: _____________________________________________________

Billing Address: _____________________________________________________

_____________________________________________________

Shipping Address: _____________________________________________________

_____________________________________________________

Phone: _____________________ Fax: ________________________

Name of Parent Co. ( If Subsidiary ): ___________________________________

Type of Business: ( ) Individual ( ) Partnership ( ) Corporation

Number of Years in Business: ______

Federal Tax Number: __________________

Social Security Number: _________________

 

PROPRIETOR, PARTNERS OR OFFICERS

Name: _________________________________ Title: ______________________

Home Address: _____________________________________________________

Phone: ___________________________

Name: _________________________________ Title: ______________________

Home Address: _____________________________________________________

 

BANK REFERENCE

Name: _________________________________ Account Number: __________________

Address: ___________________________________ Phone: ______________________

 

TRADE REFERENCES

Name: _________________________________ Phone: __________________

Address: ___________________________________ Contact : ______________________

Name: _________________________________ Phone: __________________

Address: ___________________________________ Contact : ______________________

 

INDIVIDUAL RESPONSIBLE FOR PAYMENT OF ACCOUNT

Name: _________________________________ Title: ______________________

The above information is for the purpose of obtaining credit and is warranted to be true.

I/We hereby authorize the firm to whom the application is made to investigate the references listed pertaining to my/our credit and financial responsibility.

Business Name: _____________________________________________

Authorized Signature: _______________________ Date: _____________

 

 

Warning:

These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.

[ Printer Friendly Version]


Talk to a Lawyer

Need a lawyer? Start here.

How It Works

  1. Briefly tell us about your case
  2. Provide your contact information
  3. Choose attorneys to contact you
NOLO-web2:DRU1.6.12.2.20161011.41205