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Credit Application Form

The document is a credit application for Quality Diamond Tools. It requests information such as company details, ownership structure, principal contacts, suppliers, bank references, and agreement to payment terms. If approved, the applicant would be granted a line of credit. The application aims to verify the applicant's identity and evaluate creditworthiness to determine eligibility for a business account.

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felipe
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258 views1 page

Credit Application Form

The document is a credit application for Quality Diamond Tools. It requests information such as company details, ownership structure, principal contacts, suppliers, bank references, and agreement to payment terms. If approved, the applicant would be granted a line of credit. The application aims to verify the applicant's identity and evaluate creditworthiness to determine eligibility for a business account.

Uploaded by

felipe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Quality Diamond Tools

Duncan and Duncan, Inc.

447 East Kimballs Lane, Draper, UT 84020


Voice 801.446.4278
Fax 801.446.4288
Toll-free 1.877.726.3745
Mobile 801.910.0448

Company Name DBA


Street Address
City State Zip
Billing Address
City State Zip
Phone Fax
Email Address Company Website
Type of Business
Year Business Established Federal I.D. No. Resale Tax No.
Type of Ownership (check one):
Proprietorship Closely Held Corporation Partnership Publicly Held Corporation

Principals:
Name Complete Address
Name Complete Address
Contact Person in Accounts Payable
Contact Person in Operations
Line of Credit Requested: $ (Please attach a current financial statement)

Principal Suppliers
Supplier Street Address/City, State, Zip Phone

Account No. Name of Bank Branch Street Address/City, State, Zip Phone

AGREEMENT
Applicant agrees that extension of credit by the seller shall be subject to and in consideration of the following:
1. Applicant agrees to pay all invoices in accordance with the terms specified thereon.
2. If account is turned over to a collection agency, the applicant will be responsible for a 30% collection fee.
3. If an attorney is needed for collection, the applicant will be responsible for the attorney fee.
4. Applicant agrees to be bound by the Accounts Receivables Policy and Terms which are net 30 days.
The undersigned specifically authorizes the above named references to release information to QDT for the
purpose of credit verification. In addition, the undersigned authorizes QDT to make inquiries from any credit
reporting agency or bureau and hereby authorizes said agency to make full disclosure to QDT regarding
applicant’s credit history.

The information given on this form is provided for the purpose of obtaining credit and is warranted to be true and
compete in all respects.

Printed Name Signed Title Date

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