Business credit application

Business Name _ Date _ Address _ City _ State _ Zip _ Owner/Manager _ Tel.No. _ How long in business _ D & B Rated _ Trade References: Name _ Address _ Name _ Address _ Name _ Address _ Name _ Address _ Bank References: Name _ Address _ Name _ Address _ Credit line requested $_ Pending lawsuits against Company: _ The undersigned authorizes inquiry as to credit information. We further acknowledge that credit privileges, if granted, may be withdrawn at any time. _________________________________