Credit Application for a Business Account
You can also
download a PDF copy of this application
.
To submit, please fill it out, scan and email to
bbaron@admiralleasing.com
or FAX TO: Brent Baron 410-828-8711
Business Information
Company Name
*
Phone
*
Fax
*
Date Established
*
Company Type
*
Select...
LLC
CORP
Partnership
Sole Proprietorship
Tax ID
*
Address
*
City
*
State
*
Zip
*
Country
*
Nature of Business
*
PRINCIPALS / GUARANTORS INFORMATION
Principal 1
*
Name
*
Home Address
*
Home Phone
*
Email
*
% Ownership
*
Position
*
City
*
State
*
Zip
*
Mobile Phone
*
Soc. Sec. Number
*
Date of Birth
*
Principal 2
Name
Home Address
Home Phone
Email
% Ownership
Position
City
State
Zip
Mobile Phone
Soc. Sec. Number
Date of Birth
COMPANY BANK REFERENCE
Bank Name
*
Bank Contact Name
*
Bank Contact Phone
*
Account Number
*
Account Type
*
Select...
Savings
Checking
Other
Bank Contact E-Mail
*
BUSINESS/TRADE REFERENCES
Reference 1
*
Company Name
*
Contact E-Mail
*
Phone
*
Fax
Reference 2
*
Company Name
*
Contact E-Mail
*
Phone
*
Fax
Reference 3
Company Name
Contact E-Mail
Phone
Fax
THIS WILL BE YOUR AUTHORITY AND MY REQUEST FOR YOU TO RELEASE TO ADMIRAL LEASING AND/OR ITS ASSIGNEES, ANY INFORMATION THEY MAY REQUEST CONCERNING CREDIT STANDING WITH YOUR COMPANY AND/OR MONEY ON DEPOSIT. I HEREBY FURTHER AUTHORIZE ADMIRAL LEASING AND/OR ITS ASSIGNEES, TO OBTAIN ANY AVAILABLE PERSONAL CREDIT BUREAU REPORTS, AS WELL AS BANK AND TRADE REFERENCES, AND UTILIZE PHOTOCOPIES OF THIS RELEASE IN CONJUNCTION WITH THE CREDIT APPLICATION PROCESS
For (Company Name)
*
Date
02/25/2021
Officer Signature (TYPE NAME IN CAPS)
*
Title
*
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