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New York _ , 20 ___ ___________________________________ Signature of Credit Applicant ___________________________________ Name of Credit Applicant 3 applicant authorizes creditor to contact all references, inquire as to credit information, and receive any confidential information relevant to approving credit. Dated: _____________________________are governed by the terms of the Creditor's documents. The Credit applicant accepts the above terms and states that all information contained in this 2 credit application is true and correct. Creditnd attorneys fees. · Credit terms and limit may be cancelled or changed by Creditor at any time without notice. · All transactions are governed by the laws of the Creditor's state. · All transactions voice date. · All overdue invoices bear interest at _______ % (_________________ percent) per month on unpaid balance. · Credit applicant agrees to pay all costs of collection, including court costs a________________________________________________ CREDIT LIMIT REQUESTED: $ ______________________________ CREDIT TERMS · Payment on all invoices is due within ______________________________ days of in________________________________________________________ Bank Name ______________________________ Account ______________________________ Phone # ______________________________ Address ________________________________________________________________________________ Bank Name ______________________________ Account ______________________________ Phone # ______________________________ Address _______________________________________________________________ BANK REFERENCES: Bank Name ______________________________ Account ______________________________ Phone # ______________________________ Address _____________________________________________________________ Vendor Name ______________________________ Account # ______________________________ Phone ______________________________ Address _________ss ________________________________________________________________ Vendor Name ______________________________ Account # ______________________________ Phone ______________________________ Address _______________________________________________ 1 TRADE CREDIT REFERENCES: Vendor Name ______________________________ Account # ______________________________ Phone ______________________________ Addre________________________________________________ Creditor Name ______________________________ Account ______________________________ Phone # ______________________________ Address ________________________________________________________________________ Creditor Name ______________________________ Account # ______________________________ Phone ______________________________ Address _____________________________________________________ CREDIT REFERENCES: Creditor Name ______________________________ Account # ______________________________ Phone ______________________________ Address ___________________________________________________________________ Name ______________________________ SS # ______________________________ Title ______________________________ Address ___________________________ Address ________________________________________________________________ Name ______________________________ SS # ______________________________ Title ______________________________ Address _________alue $ ______________________________ NAMES AND ADDRESSES OF OWNERS, PARTNERS, OR OFFICERS: Name ______________________________ SS # ______________________________ Title ______________________________prietorship ____Other Type of Business _______________________ Year established __________ Yearly Gross Sales $ ______________________________ Yearly Net Profits $ ______________________________ Net Ving Address ______________________________ Phone ___________________ Fax:________________ Telex:_______________ e-mail Address ______________________________ ____ Corporation ____ Partnership ____ Proise) arising in any way out of the use of these materials. An attorney should be consulted for all serious legal matters. BUSINESS CREDIT APPLICATION Company Name ______________________________ Billoods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwhors or publishers of the forms, be responsible or liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute gss for any of the materials for your particular needs. The materials are used at your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or affiliates, or ii) the providers, aut to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completene is to be paid. Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subjectelled out. The following information will need to be filled in before sending the form to a potential credit customer: the interest rate on overdue balances, and number of days within which an invoicees Three trade references Three credit references In addition, the applicant is asked to request a credit limit for their account. Finally, the various credit terms which are being applied for are spurnish the following information: · · · · · · Company name and address and length of time in business Gross annual sales, net profits, and net value of the company Type of business Three bank referencis form a company desiring credit furnishes various information which may be checked further to ascertain the reliability and background of the credit applicant. The credit applicant is requested to fInformation Business Credit Application Provided under agreement with copyright holder, © Nova Publishing Company 2004 This form is the basis of a check into the credit history of a customer. With th New York