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