company name Credit Application Date. Account Manager Credit Limit Requested. Name of Business Address. City. State. Postal. Telephone. Fax. Email.
If billing address is not the same as above. Address. City State. Postal. Telephone. Fax. Email. Ownership Individual. Y Partnership. Y Corporation. Y N
Name of Corporate Officers Owners or Partners Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Date Incorporated. Duns #.
and so on...
A Document from Contract Pack
The editable Extending Credit to Client Application template - complete with the actual formatting and layout is available in the retail Contract Packs.

Document Length: 3 Pages
Use the Extending Credit to Client Application if you are considering extending credit to a client. Use this application form for gathering information from the client.
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company name Credit Application Date. Account Manager Credit Limit Requested. Name of Business Address. City. State. Postal. Telephone. Fax. Email.
If billing address is not the same as above. Address. City State. Postal. Telephone. Fax. Email. Ownership Individual. Y Partnership. Y Corporation. Y N
Name of Corporate Officers Owners or Partners Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Date Incorporated. Duns #.
SIC#. of Years in Business. If you are requiring Tax Exempt Status please attach appropriate documentation. Tax Exempt #. State. Accounts Payable Name. Telephone. Email. Will purchase order be required. N
Please list names of individuals agents or employees authorized to order receive or pick up products and materials. Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Job title of signator authorized signature or signer. Trade References. 1. Name. Contact.
Business. Address. City. State Postal. Telephone. 2. Name. Contact.
Business. Address. City. State Postal. Telephone. 3. Name. Contact.
Business. Address. City. State Postal. Telephone. Banking Information.
Type of Account. Savings. Y Checking. Y Credit. Y N Institution Name. Account #. Address. Contact. City. Job title of signator authorized signature or signer. State Postal. Telephone. I the undersigned do hereby attest to the financial responsibility ability and willingness to pay our invoices in timely manner and in accordance with the Net terms circled below. understand that 1. 5% per month late charge may be applied to any outstanding or overdue balance owed company name. Signature. Job title of signator authorized signature or signer. Company. Telephone. Fax.
For all new customers or new orders all balances must be prepaid in full. For orders made subject to credit application please allow for business days for processing and review. All credit terms offered are subject to verification of the application information and the customers credit history and references. All customers will be subject to any taxes tariffs or other levies imposed upon goods and services as required by State or Federal law unless proper resale or exemption documentation is presented to the Company. Assigned Customer Account Number. Assigned By signator authorized signature or signer. Date. Account Payment Terms. Circle One COD Net Days Net Days Net Days Account Representative Assigned to Customer. Phone Number. Department or Group Number. address address city state or province zip or postal code Phone phone number Fax Phone phone number
BUSINESS CREDIT APPLICATION Personal Information Last. First. Middle Initial. Name of Business. Address. City. State. ZIP. Phone.
Drivers License State Cell Phone. Have you ever been convicted of felony. No. Yes. If Yes describe. Have you ever declared bankruptcy. No. Yes. If Yes describe. Bank References Credit Card Visa. MasterCard. American Express. Other. Credit Card Visa. MasterCard. American Express. Other. Credit Card Visa. MasterCard. American Express. Other.
Checking Account Institution Name. Address Phone Savings Account Institution Name. Address Phone Other Account Institution Name. Address Phone Home Equity Loan #. Loan Balance. Institution Name Business References Company Name. Contact. Phone.
Address. Company Name. Contact. Phone. Address. Company Name. Contact. Phone. Address. I hereby certify that the information supplied above is complete and accurate. hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
Signature Date For internal use only Reference contacted. Date. By signator authorized signature or signer. Reference contacted. Date. By signator authorized signature or signer. Reference contacted. Date. By signator authorized signature or signer. Notes. Approved. Yes. No. Date. By signature
REQUEST FOR CREDIT REFERENCE Current Date. current date For the benefit of. company name address
address city state or province zip or postal code phone number company name has requested credit with our company and has named you as reference for credit. company name has authorized us to conduct reference check and contact you on their behalf for the following information. I hereby authorize the institution listed in this credit reference request to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. Signature Date
Credit Reference Details Please provide us with the following information. How long has the above named company had an account with you or your company. What is the highest balance the above named company has reached. Average balance. Has the above named company had any late payments or overdrafts. Have you had satisfactory relationship with the above named company. Does the above named company have an outstanding balance with you or your company.
Note outstanding balance for the purpose of this credit reference refers to balance which is past due or in which interest only payments are being made. If you have any additional information that would help us to evaluate the above named company please attach it to this credit reference. All information provided to us is held in the strictest confidence and is not provided to the party or parties requesting credit. Fax Mailing Instructions Print and Fax this form to. company name Attention. Accounting Dept Fax fax number Or print and mail this form to. company name address address
city state or province zip or postal code Note. Email Adobe PDF Email Faxes or other Electronic delivery of this form is acceptable.
company name NOTICE OF BUSINESS CREDIT APPROVAL current date To. contract first name contract last name contract job title Re. Notice of Approval for Business Credit with company name Dear contract first name We are happy to inform you that your application for credit with our company has been approved based on the information you submitted. We are happy to provide you with an initial credit limit of Insert Credit Limit here subject to the following terms and conditions.
The terms upon which credit is granted are as follows. * Credit limits terms and conditions may be changed by company name at any time and without notice. * Payment on all invoices shall be made within days of the date on the invoice as provided in your monthly statements. * All overdue invoices shall be subject to 1. 5% monthly interest charge compounded daily on the overdue amount. * All costs of collection on overdue amounts shall be the responsibility of company contract with including legal court and documentation fees. * All transactions shall be governed by county county in the state of state or province. * All transactions rates fees and underwriting are based upon the documents provided to company name by company contract with both during the application process as well as with each individual transaction in which credit is granted and shall be governed based upon the information provided therein. If you have any questions regarding this approval of credit by our company please do not hesitate to contact us. Sincerely
Finance Manager Department cc. Accounting Finance Department Manager
company name NOTICE OF DECLINE OF BUSINESS CREDIT current date To. contract first name contract last name contract job title Re. Notice of Decline of Business Credit Dear contract first name This letter is to notify you that your application for business credit has been declined. If your financial circumstances change in the future please do not hesitate to reapply.
If your application information has changed since the time of the application or if you feel we have reached this decision in error please contact us at. company name address address city state or province zip or postal code
phone number Sincerely Credit Manager Department cc. Accounting Finance
Department Manager address address city state or province zip or postal code Phone phone number
current date first name last name job title company name address
address city state or province zip or postal code Re. Request to Expedite Payment on Insert Contract Name or Number salutation last name Due to circumstances beyond our control we have been unable to complete Insert whatever project portion or milestone you have been unable to meet
We are currently experiencing cash flow difficulties that affect our ability to carry on our work. Therefore we respectfully request that you immediately release payment of Insert amount or percentage of contract payment requested for the contract named above leaving Insert amount or percentage remaining due due on completion which will protect you and allow us to efficiently continue operations. Please find attached the invoice for the amount stated above. If you have any questions please do not hesitate to contact me. On behalf of our entire organization we thank you in advance for your cooperation and look forward to successful completion of this project. Sincerely first name last name job title
company name phone number e mail address web site domain URL
NOTIFICATION OF MAINTENANCE AGREEMENT EXPIRATION TERMINATION current date company name address address city state or province zip or postal code Phone. phone number Fax. fax number
Re. Notification of Maintenance Agreement Expiration Termination Dear salutation last name As per our previous notification see attached this letter is to inform you that you have reached the end of your maintenance agreement with company name and we will no longer be able to provide support or maintenance to you in any form as of date. All access to company services personnel or equipment as per our service agreement will be suspended after the above mentioned date. If you would like to renew these services please contact us at phone number and we would be happy to review and renew your service agreement with company name. Please be advised that any services or support rendered after date may result in fee and bill sent to you for those services independent of any previous support or maintenance agreements that may have existed. If you have any questions please contact us at phone number. Sincerely first name last name
job title enclosure
BUSINESS ASSET CASUALTY LOSS WORKSHEET company name address address city state or province zip or postal code Phone. phone number DATE. current date Time Period. start date end date Manager. supervisor manager ASSET DESCRIPTION* DATE of LOSS COST of ASSET REASON for LOSS TOTAL
USE OF FICTITIOUS BUSINESS NAME AFFIDAVIT Note Registration for use of Fictitious Name is typically for public notice only and makes no presumption of the registrants rights to use or own the name. This does not replace proper registration through the U. S. Patent Trademark Office for Trademark or Service Mark nor does it protect you from the exercise of rights by others with the same or similar names. Declarations company name is seeking to engage in business under the fictitious name of Insert Fictitious Business Name here company name shall engage in business under this fictitious name at the following locations. Insert locations or attach list in the case of numerous offices or branches. Company intends to use this Fictitious Business Name for. Insert brief statement as to the intended use of the Fictitious Business Name and the activities to be carried out under its use. The ownership of company name is comprised of the following Executives Officers Directors or Shareholders.
Name Address Title I the undersigned located at address city state or province zip or postal code and being duly authorized to affirm such do hereby swear that the information contained in this affidavit is true and accurate. The name of the agent who shall be authorized to execute amendments to withdrawals from or cancellation of this registration on behalf of all then existing parties to the registration shall be. Insert additional agent attorney or other third party who shall be eligible to execute amend or cancel this registration. A Proof of Publication of Notice of Intention to Use Fictitious Name is filed with this affidavit. In witness whereof the parties have executed this Agreement this current day day of current month current year. Individual.
Job title of signator authorized signature or signer. Date.
A Document from Contract Pack
The editable Extending Credit to Client Application template - complete with the actual formatting and layout is available in the retail Contract Packs.
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