Treating our customers like our FAMILY!

Credit Application

Truck Repair Plus Inc.

Business Credit Application

 

Name/Address

Last:                                            First:                                                      Middle Initial:

Title

Name of Business:

Tax I.D. Number

Address:

City:                                             State:                      ZIP:                                                        Phone:

 

Company Information

Type of Business:                                                                                     In Business Since:

Legal Form Under Which Business Operates: 

                                                                     Corporation  ð                            Partnership ð                          Proprietorship ð

If Division/Subsidiary, Name of Parent Company:                                                 In Business Since:

Name of Company Principal Responsible for Business Transactions:                 Title:

Address:                                    City:                                          State:           ZIP:                    Phone:

Name of Company Principal Responsible for Business Transactions:                 Title:

Address:                                    City:                                          State:           ZIP:                    Phone:

 

Bank References

Institution Name:

 

Institution Name:

Institution Name:

Checking Account #:

 

Savings Account #:

Home Equity Loan:

Loan Balance:

Address:

Address:

Address:

Phone:

Phone:

Phone:

 

Trade References

Company Name:

Company Name:

Company Name:

Contact Name:

Contact Name:

Contact Name:

Address:

Address:

Address:

Phone:

Phone:

Phone:

Account Opened Since:

Account Opened Since:

Account Opened Since:

Credit Limit:

Credit Limit:

Credit Limit:

Current Balance:

Current Balance:

Current Balance:

 

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to Truck Repair Plus LLC. To verify the information contained herein.

 

 

            _________________________________________________________              

            Printed name

 

            __________________________________________________              ________________________

           Owner/ Guarantor signature                                                                       Date                                                                 

 


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