Business Credit Application
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1
2MARREL CORPORATION
4750 14 Mile Road NE
Rockford, MI 49341
Phone: 616-863-9155 Fax: 616-863-9177
BUSINESS CREDIT APPLICATION
.
NAME ______________________________________________ PHONE ________________________
CURRENT ADDRESS
IF CURRENT ADDRESS IS LESS
THAN 1 YR., COMPLETE FOLLOWING:
__________________________________________________________________________________________
No.
Street
No.
Street
__________________________________________________________________________________________
City
State
City
State
__________________________________________________________________________________________
Zip Code
Zip Code
TYPE OF BUSINESS:
BUSINESS BACKGROUND:
CORPORATION
CURRENT NAME ___ YRS.
CO-PARTNERSHIP
PREVIOUS NAME __________________
SOLE PROPRIETORSHIP
POs REQUIRED
YES
NO
INDIVIDUAL APPLICATION
LIMITED LIABILITY COMPANY
Social Security/Federal ID# ___________________________
Duns # ______________________________
ARE THERE ANY OUTSTANDING JUDGMENTS AGAINST YOU?
YES
NO
BANK: __________________________________
Account Number ___________________________
FAX #________________________ PHONE # _______________ BANK CONTACT ___________________
PRINCIPAL OWNERS, STOCKHOLDERS OR GENERAL PARTNERS:
NAME
ADDRESS
SOCIAL SECURITY #
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
PRINCIPAL SOURCES OF CREDIT:
NAME
ADDRESS
FAX
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
____________________________ ___________________________________ _______________________
The undersigned authorizes Marrel Corporation to make all credit inquiries that it deems reasonable and understand that you will
retain this application whether or not it is approved and answer questions about your credit experience with me. The information on
this form is correct and I understand that you are relying upon this information when deciding to give credit.
Send Completed Form to Marrel Corporation
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Parent category: Business