Scribd
Upload
58 views3 pages

Credit Application Form

This credit application provides company and banking details for D&B# to request a credit limit from Stolt. It includes the applicant's name, address, phone number, year-to-date sales, legal ownership structure, type of business, date established, bank name and account numbers. References are also listed along with authorization to release payment history to Stolt for credit evaluation. The application is signed with the name and title of the person providing the financial information.

Uploaded by

ramanmangat5777
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
58 views3 pages

Credit Application Form

This credit application provides company and banking details for D&B# to request a credit limit from Stolt. It includes the applicant's name, address, phone number, year-to-date sales, legal ownership structure, type of business, date established, bank name and account numbers. References are also listed along with authorization to release payment history to Stolt for credit evaluation. The application is signed with the name and title of the person providing the financial information.

Uploaded by

ramanmangat5777
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 3

CREDIT APPLICATION

Company Name D&B# Date

Address

City

State

ZIP Phone#

Country

Purchasing Contact Ext. Fax #

Billing Address (if different than above) Legal Ownership: Corporation Other Type of Business: Partnership Date Established Proprietorship Current Year Sales

Credit Limit Requested $ BANK INFORMATION Bank Name Address Address Phone # Checking Acct # Ext

A/P Contact Name

Phone #

Contact Name

Fax # Savings Acct #

Credit Line?

Type

Acct # Title

Authorization for Bank to Release Information CREDIT REFERENCES Company Name Contact Name

Address Phone # Company Name Fax # Acct # Contact Name

Address Phone # Fax # Acct #

I authorize the release of payment information to Stolt from the above indicated references Name and Title of person providing information: Name Please Fax this to Attn Title

You might also like