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Business Credit Application

A. BUSINESS INFORMATION
DEMOGRAPHIC
Business Name Business Phone        
       
Business Address City State Zip County How Long?
Yrs. Mos.
Date of   Years Established Years Under Present Ownership    
Incorporation Proprietorship
   
Nature of Business DUNS Number Tax ID Number      
     
OFFICERS
First Last Title % Own
First Last Title % Own
First Last Title % Own
First Last Title % Own
B. PERSONAL GUARANTOR / CO-APPLICANT PERSONAL INFORMATION
PERSONAL INFORMATION
Social Security Number Last Name First Name Middle Initial Jr/Sr  
 
Date of Birth Home Phone E-Mail      
     
Present Address City State Zip County How Long?
Yrs. Mos.
Previous Address City State Zip County How Long?
Yrs. Mos.
EMPLOYMENT
Employer Name Employer Phone Years of Service Occupation  
Yrs. Mos.
 
Business Address City State Zip Gross Annual
Other Annual Income Source of Annual Income Self Employed?    
   
EDUCATION
Education Background (Highest Level)
2 Yr. College
FINANCE INFORMATION
Residence Monthly Payment Personal Finance
With Relatives
Savings
Have You Ever Obtained Credit Under a Different Name? Have You Ever Filed Bankruptcy?
(Date )


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The information in this application is true and correct to the best of my knowledge. I authorize Excel Auto Group, to check my credit and employment reports in connection with my application for credit. Excel Auto Group will rely on this information in deciding whether to grant the credit requested. to share information with others about its credit experience with me. I understand that Excel Auto Group will retain this application whether or not

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