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Etruux LLC. Business Credit Application

Your Company Information

Company Name:
Type of Business:
In Business Since:
DBA if any:
Tax ID:
Corporation:
Partership:
Proprietorship:
If Division/Subsidiary, Name of Parent Company:
In Business Since:
Name of Company Principal Responsible for Business Transactions:
Title:
Address:
City:
State:
ZIP:
Phone:
Name of Company Principal Responsible for Business Transactions:
Title:
Address:
City:
State:
ZIP:
Phone:

Total Owners/Partners/Directors      [ 1 ]   (click 'Add More' button below, if more that one)

1
Guarantor Last Name:
First:
Middle:
Title:
Initial:             
Name of Business:
SSN (If sole pro/partnership):
Home Address:
City:
State:
ZIP:
Phone:
Email:

Bank References

Institution Name:
Institution Name:
Institution Name:
Account #:
Type:
Account #:
Type:
Account #:
Type:
Address:
Address:
Address:
Phone:
Phone:
Phone:

Trade References (Minimum 2)

Company Name:
Company Name:
Company Name:
Contact Name:   
Contact Name:   
Contact Name:   
Address:
Address:
Address:
Phone:
Phone:
Phone:
Account Opened Since:
Account Opened Since:
Account Opened Since:
Credit Limit:         $ 
Credit Limit:         $ 
Credit Limit:         $ 
Current Balance: $ 
Current Balance: $ 
Current Balance: $ 
 

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the Etruux LLC for which credit is being applied for to verify the information contained herein.
 

 Date:  08-01-2025