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  • Application 2014

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    api-194720965
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    This document is a credit application for a company seeking credit terms from Mobile Advances. It requests information such as the credit amount requested, credit terms wanted, company details like legal name and address, business profile including organization type and years in business, identification numbers, contact information for an applicant and credit manager, bank references, and shipping/billing addresses. The applicant signs to certify the truth and accuracy of the information provided.

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    application-2014

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    This document is a credit application for a company seeking credit terms from Mobile Advances. It requests information such as the credit amount requested, credit terms wanted, company details like legal name and address, business profile including organization type and years in business, identification numbers, contact information for an applicant and credit manager, bank references, and shipping/billing addresses. The applicant signs to certify the truth and accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    13 views3 pages

    Application 2014

    Uploaded by

    api-194720965
    This document is a credit application for a company seeking credit terms from Mobile Advances. It requests information such as the credit amount requested, credit terms wanted, company details like legal name and address, business profile including organization type and years in business, identification numbers, contact information for an applicant and credit manager, bank references, and shipping/billing addresses. The applicant signs to certify the truth and accuracy of the information provided.

    Copyright:

    © All Rights Reserved
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    of 3

    MobileAdvancesNewCustomerRetailApplication

    CreditRequest

    TotalCreditRequest:(USD)
    $________________________

    CreditTermsWanted:
    PayUpFront__
    30Days__

    PlannedMonthlyPurchase:(USD)$___________________

    CompanyDescription

    LegalCompanyName:
    _________________________

    Trade/DBAName:
    _________________________

    CompanyStreetAddress: _________________________
    _________________________
    _________________________

    OfficeNumber:
    _________________________

    FaxNumber:(Optional)
    _________________________

    BusinessProfile

    OrganizationType:
    _________________________

    StyleofBusiness:
    _________________________

    YearEstablished:
    _________________________

    State/ProvidenceIncorporated: ___________________

    TotalNumberofEmployees:
    _________________________

    AnnualSales:(USD)
    _________________________

    CompanyIdentification

    FederalTaxID:

    DUNSNumber:

    _________________________
    _________________________

    ApplicantsContactInfo

    Title:

    First&LastName:

    WorkPhone:

    WorkEmail:

    _________________________
    _________________________
    _________________________
    _________________________

    AddOfficerInformation

    First&LastName:

    PhoneNumber:

    Title:

    _________________________
    _________________________
    _________________________

    ContactPerson/CreditManager

    First&LastName:

    PhoneNumber:

    WorkEmail:

    _________________________
    _________________________
    _________________________

    BankReferences

    AccountNumber:

    AccountType:

    BankName:

    Address:

    ________________________
    Checking____Savings____
    ________________________
    ________________________
    ________________________
    ________________________

    Ship,Bill,A/PInfo

    MainShippingAddress:

    BillingName:

    BillingAddress:

    ________________________
    ________________________
    ________________________
    ________________________
    ________________________
    ________________________
    ________________________

    AccountPayableName:
    ________________________

    AccountPayableAddress: ________________________
    ________________________
    ________________________

    I,____________________certifythatallinformationfilledoutaboveistrueandingood
    standing.Anyfraudornottrueinformationcouldhinderfuturenegotiationsbetween
    MobileAdvancesand_________________(YourCompanyName).

    ______________________________
    NameofApplicant

    ______________________________
    SignatureofApplicant

    _____/_____/20____
    Date

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