BUSINESS CREDIT APPLICATION Business Name: _____________________________________________________ Type of Business: Limited Partnership _____ Sole Proprietorship _________ General Partnership _____ Corporation _______________ Federal ID# or Social Security #: ____________________________ Address and Phone: _____________________________________________________ ______________________________________________________________________ Owner/President: _______________________________________________________ Address and Phone: _____________________________________________________ _____________________________________________________________________ Date Business Started: _____________________ Amount of Credit Requested: ________________ Bank: ____________________ Account #: ________________________ Credit References: Trade References: ____________________________ _____________________________ ____________________________ _____________________________ ____________________________ _____________________________ ____________________________ _____________________________ ____________________________ _____________________________ Have you ever been a defendant in a lawsuit? Yes ____ No ____ If yes, list and describe the lawsuits: ______________________________________________________________________ ______________________________________________________________________ The undersigned consents to the release of credit history. We recognize that if credit is extended, it may be canceled without notice. ____________________________ _____________________________ Borrower Date