Business Credit Application Business Credit Application Company InformationCompany’s Legal Name: Federal Tax ID: Date Established: MM slash DD slash YYYY Legal Form Under Which Business Operates: Corporation Partnership Proprietorship LLC Principal Responsible for Business Transactions: Name: Title: Email: Phone:Address:City: State: State: PhoneBilling InformationBilling Contact Name: Billing Contact Title: Billing Contact Phone:Billing Contact email: Banking InformationBank Name: Account no: Address: Bank Officer Name: Title: Email PhoneReference 1Company Name: Contact Name: Contact Title: Contact Email: Contact Phone:Company Address: Company Website: Account Opened Since: Credit Limit Approved: Current Account Balance: Past Due Balances: Reference 2Company Name: Contact Name: Contact Title: Contact Email: Contact Phone:Company Address: Company Website: Account Opened Since: Credit Limit Approved: Current Account Balance: Past Due Balances: Reference 3Company Name: Contact Name: Contact Title: Contact Email: Contact Phone:Company Address: Company Website: Account Opened Since: Credit Limit Approved: Current Account Balance: Past Due Balances: Reference 4Company Name: Contact Name: Contact Title: Contact Email: Contact Phone:Company Address: Company Website: Account Opened Since: Credit Limit Approved: Current Account Balance: Past Due Balances: Please upload w9 form and/or Articles of IncorporationMax. file size: 12 GB.Certify(Required) 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 FadiLaw Marketing LLC, DBA Best Case Leads DBA Real Performance Marketing for which credit is being applied for in order to verify the information contained herein.Signature(Required)Date(Required) MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
