Credit Application – Elite-Industries

Credit Application

Step 1 of 5

BUSINESS INFORMATION
Legal Business Name*
Business Name
Federal ID #*
Business Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Business Phone*
Business Fax Number
Email*
Time in Business*
Ownership Structure*
- Proprietorship
- Corporation
- LLC
- General Partnership
- Ltd. Partnership

Ownership Information
(List all individuals with 20% or more ownership)
Owner Name 1*
First Name Last Name
Ownership % 1*
Address 1*
Street Address City State / Province / Region ZIP / Postal Code Country
Social Security Number 1*
Title 1*
Cell Phone Number 1*
Phone Number 1
Owner Name 2
First Name Last Name
Ownership % 2
Address 2
Street Address City State / Province / Region ZIP / Postal Code Country
Social Security Number 2
Title 2
Cell Phone Number 2
Phone Number 2
Owner Name 3
First Name Last Name
Ownership % 3
Address 3
Street Address City State / Province / Region ZIP / Postal Code Country
Social Security Number 3
Title 3
Cell Phone Number 3
Phone Number 3

FIND US

(218) 297-5330

3414 Rosewood St.
Pequot Lakes, MN 56472

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