Business Credit Application letter Template

BUSINESS Credit Application
Business Contact Information
Title:
Company name:
Phone:	Fax:			E-mail:
Registered company address:
City:				State:	ZIP Code:
Date business commenced:
Sole proprietorship:		Partnership:		Corporation:	Other:
Business and Credit Information
Primary business address:
City:			State:		ZIP Code:
How long at current address?
Telephone:	Fax:		E-mail:
Bank name:
Bank address:			Phone:
City:			State:		ZIP Code:
Type of account	Account number
Savings
Checking
Other
trade/BANK references
Company name:
Address:
City:			State:		ZIP Code:
Phone:	Fax:		E-mail:
Type of account:
Company name:
Address:
City:			State:		ZIP Code:
Phone:	Fax:		E-mail:
Type of account:
CREDIT LINE REQUESTED
Credit line requested:
Agreement
By submitting this application, the undersigned authorizes [s-Name] to verify credit information. The undersigned also authorizes [s-Name] to make inquiries into the banking and business/trade references supplied in this application. [r-Name] further acknowledges that credit privileges, if granted, may be withdrawn at any time pending notification.
Signatures
Title: [r-Name] Date: [r-Date]				Title: [s-Name] Date: [s-Date]