Writing the Customer Business Credit Application document
BUSINESS CREDIT APPLICATION
Name of Business:
Drivers License # State Cell Phone:
Have you ever been convicted of a felony? No ? Yes ? If Yes, describe:
Have you ever declared bankruptcy? No ? Yes ? If Yes, describe:
Credit Card # Visa ? MasterCard ? American Express ? Other:
Checking Account # Institution Name:
Savings Account # Institution Name:
Other Account # Institution Name:
Home Equity Loan #: Loan Balance: Institution Name.
I hereby certify that the information supplied above is complete and accurate. I 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.