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Elmor Doors
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Formulario Credit Acha
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Formulario Credit Acha
Line of credit requested $
New Account
Business Name
Federal Tax ID (EIN)
Residential Address
Business Address
Postal Address
Type of Business
Telephone
Fax
NAME OF AND TITLE OF THE OFFICERS, PARTNERS OR OTHERS
Bank References
Tel. / Fax
Account Type and Number
Bank Reference 2
Tel. / Fax 2
Account Type and Number 2
Bank Reference 3
Tel. / Fax 3
Account Type and Number 3
Bank Reference 4
Tel. / Fax 4
Account Type and Number 4
Business References
Tel. / Fax
Account Number
Business References 2
Tel. / Fax 2
Account Number 2
Business References 3
Tel. / Fax 3
Account Number 3
Business References 4
Tel. / Fax 4
Account Number 4
Years in Operation
Purpose of this credit request:
Project Name:
Project Owner/Address/Phone:
Payment and Performance Bond Company and No.
If corporation, please submit evidence. Financials, Certificate of State Department Resolution for or Authorization. If Not incorporated and your are married, both you and your wife shall sign this application and would be severally and jointly liable. We unsderstand and agree that current billings are net 30 days from date of invoice all past due invoices will paid interest at maximum of % permitted by law.I authorize the above banks and credit references to release the information requested regarding my company or my status.
The undersigned official, to induce the granting of credit to the above named firm, hereby personally guratantees any amound due by:
Autorized Signature
Position
Date