CREDIT APPLICATION
Ownership:
Company
Name: _______________________________________________________________________
DBA/Parent/Subsidiary
_________________________________________________________________
Address ______________________________________________________________________________
City _________________________________________________________________________________
State ___________
Zip _____________
Phone
________________________
Established
in (MO/YR) ____________
Federal
Tax I.D. # ____________________
Past
12 Months’ Gross Sales _______________
Number
of Employees _______
Percentage
of Gross Sales ________________
Number
of Stocking Locations ________________
Do
you floor plan, If yes name company (s) _______________________________________________
Do
you use purchase orders ________________
Authorized Buyers:
Name
and Title: _________________________________________
Name
and Title: _________________________________________
NOTE: Please include the appropriate Sales Tax Exemption Form from your State.
Attach
Financial Statement (audited
preferred)
Bank References:
Bank
Name _________________________________________
Address
____________________________________________
Phone
Number __________________________
Checking
Account _____________________________________________
Savings
Account Number ______________________________________
Account/Loan
Officer _________________________________________
Phone
number of above ________________________________________
Trade References: (Related industry and floor plan preferred)
Name, mailing address, telephone number, account number
(1) ___________________
(2) ___________________
(3) ___________________
(4) ___________________
By signing this agreement, I/We authorize the release
of credit and bank information to Nova Review, Inc. by
the references listed above.
_______________________________
Signature and Date
_______________________________
Print
Name and Title
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