Business Credit Application :

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This letter should be typed in the official letter-head of the company.

The Company's Name

Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXX
Phone Number : 0000 - 123456789


TO :

The Receiver's Name,
Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXXX


Date :


Reference :


Dear _____________,


Business Name


Date


Address


City


State


Zip


Owner / Manager


Tel.No.


How long in business


D & B Rated


Trade References :


Name


Address

Name


Address

Name


Address

Name


Address

Bank References :

Name

Address

Name


Address


Credit line requested $


Pending lawsuits against Company :


The undersigned authorizes inquiry as to credit information. We further acknowledge that credit privileges, if granted, may be withdrawn at any time.


Yours Sincerely,


(The Sender's Signature)


The Sender's Name


Enc. :

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