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CREDIT APPLICATION (COMMERCIAL)

Date:

Business name:
Type of business:
Trade name (if different):

Address: City:
State: Zip:

Telephone: Owner/President:[name]
How long in business: Credit rating:

Trade references (names and addresses):

Bank references (include account numbers & addresses):

Location of financial statements:

Notice:
The undersigned authorizes an inquiry as to the credit information of the business. In addition, credit if granted may be withdrawn at any time. I certify the above information to be true.

____________________________ Owner/President

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For Up-To-Date Forms Covering Just About Every State & Situation plus Summaries of
Relevant Laws We STRONGLY SUGGEST Checking Out
'LLL's 25,000+ Premium Forms - Every Subject, Every State
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