Best Buy Business Application Form

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Business Pro Name _______________________________________________
Best Buy Business Application
Customer Account Number _________________________________________
REQUIRED DOCUMENTATION / WHERE TO SEND YOUR APPLICATION
HSBC Retail Credit (USA) Inc. requires that all requested documentation be received before the application process begins. Should you have any questions, please call 1-800-811-7276.
If the requested credit line is greater than $50,000 or if no personal guaranty is given, you may be required to submit your latest financial statement or most recent tax return. If business
entity is a tax-exempt organization, please provide tax-exempt documentation. Using blue or black ink, please complete all sections of the application, including the Personal Guaranty Section
if necessary, include the requested financial information, and FAX TO 1-952-430-7894.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each
person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you.
We may also ask to see your driver’s license or other identifying documents.
A. Type of Account
B. Requested Credit Line
Requested Credit Line _______________________________
Revolving
Net
C. Business Information
Business Contact E-Mail Address
Business Name (Maximum 26 characters)
DBA (Doing Business As)
Business Physical Address
City
State
Zip
Business Billing Address (If different)
Department Name / Attention To: City
State
Zip
Business Shipping Address
City
State
Zip
Business Phone #
Business Fax #
(
)
(
)
Billing Contact Name
Billing Contact Phone #
Parent Company Name (If applicable)
(
)
Parent Company Address
City
State
Zip
Year Business Established
Number of Employees
Federal Tax ID (FEIN)
Business Type (Select One):
Sole Proprietorship
Partnership
Public School
Limited Liability Company
Government Agency
Non-Profit*
Corporation
Private School*
* For Non-Profit and Private Schools, Financial Statements or Personal Guaranty is required if in business less than 2 years.
D. Personal Guaranty (Required for all Sole Proprietorships and Partnerships. Also required for Corporations and LLC’s in business less than 2 years)
As an inducement to HSBC Retail Credit (USA) Inc. to finance the purchase of goods or services by the business entity that has signed the Business Account Application, the undersigned (“Guarantor”)
unconditionally guarantees the prompt payment when due, or on demand, of the full amount of indebtedness due to HSBC Retail Credit (USA) Inc. from the business entity, including all charges, expenses
and fees (collectively, the “Account”). Guarantor authorizes HSBC Retail Credit (USA) Inc. to investigate Guarantor’s business and/or personal credit and to furnish information about the Account and
Guarantor to credit reporting agencies and others, including HSBC Retail Credit (USA) Inc.’s affiliates.
First Name
Middle Initial
Last Name
Date of Birth
Home Address
Unit Number
City
State
Zip
Home Phone #
Social Security #
Annual Income
(
)
Signature
Date
E. Purchasing Information / Authorized Users
Are all purchases tax exempt? Y or N
Is a purchase order number required for all transactions? Y or N
If yes, choose one of the following: Written
Verbal
Please attach Tax Exempt Certificate Application.
Check box if cards are to be issued with business entity name only
Number of Cards Requested _______________________________
1. ___________________________________________ Spending Limit ____________
4. ___________________________________________ Spending Limit ____________
2. ___________________________________________ Spending Limit ____________
5. ___________________________________________ Spending Limit ____________
3. ___________________________________________ Spending Limit ____________
6. ___________________________________________ Spending Limit ____________
If additional authorized users are requested, please list on a separate sheet of paper and submit with the application.
F. Signature
Do not sign this Application before you read it. By the signature of its authorized representative below, the business entity: (1) submits an Application for a credit limit in the highest amount we deem
appropriate, regardless of any initial sale amount; (2) represents that it has authorized the execution of this Application; (3) authorizes HSBC Retail Credit (USA) Inc. to check credit on both the business
and owners and partners, if any; (4) represents that the information provided in this application is true and correct and understand that any false information may result in cancellation of the account;
and (5) agrees to be bound by the terms and conditions of the Business Account Agreement which is attached. Further, the individual signing below represents that he or she is authorized to execute
this Application on behalf of its business entity.
Signature of Authorized Representative
Printed Name
Title
Date
(For DRC Use Only)
ORG # 369
Merchant # 88972 - Bus
HSBC ACCOUNT # __________________________________________________________
Merchant # 88973 - Govt/Educ
CREDIT LINE $ __________________
Was Tax Exemption Form received?
Yes
No
N/A
REFERENCE #
7022-DRC-04 (7-06)

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