Credit Application Form
2015-01-13
: Pdf Credit-Application-Form Credit-Application-Form vajillas-usa
Open the PDF directly: View PDF 
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Page Count: 2
National Market Export Market
1) Balance Sheet and Income Statement last 2 years ( to 1) Balance Sheet and Income Statement last 2 years (to
December 31st, audited and signed). December 31, audited and signed).
2) Certificate of Existence and Legal Representation, maximum 2 2) Certificate of Incorporation of the company, maximum 2
month expedition. month expedition. (equivalent document for each country)
4) Copy latest Income Tax or income certificate 3) Two Bank References
5) Copy of the Legal Representative ID 4) Two Trade or business References
Annual credit requested: $
Date
Name of Company:
In business since:
Legal Representative name
ID No. -
Main Office Address City Country
BUSINESS INFORMATION( Please fill in full)
Sold to : Wholesalers Retail End USers
Sales territoty nationwide
Sales territory International level:
Customer number: Nationwide ;Foreign
Sales Terms ( %) cash and ( %) credit with terms of ( ) days
Employees Numbers: Administratives: ; Operating ; Temporary; TOTAL:
Other facilities, plants, stores warehouses etc ) City
Link with Corona Organization Directly Indirectly Which
Contact Person City
ID 860.002.688-6
Credit Application Form and / or Data Update
For delivery to Corona Organization, verification, processing and disclosure control
TO START THE STUDY IS NECESSARY TO COMPLETE THIS FORMS IN FULL AND ATTACH THE REQUESTED DOCUMENTS
Brands, products or services offered main activity
Other activities:
Terms:
Phones : Fax
Acronyms and / or names used
Business Website
E-mail
Main Activity description:
Operations: (in case of dealer please indicate whether wholesale or retail)
Company name Phones
Purchased Products:
Other conditions (specify):
Address:
SUPPLIER LIST ( Please relate the maximun number of suppliers- this information is relevant very important at the evaluation time of your request)
1
2
3
4
10
7
8
Accounts Payable Contact Information:
Phone:
9
5
6
INSURANCES COMPANIES
Mortgage: YES_____ NO______ Credit Card: YES_____ NO______ Entity__________________________________________
Percent ownership or control
Signature
Legal Representative
ID N0.
EXCLUSIVE AREA TO BE COMPLETED BY THE ORGANIZATION CORONA
Business Concept
Commercial Agent: ____________________________________ Country : ______________________ Phones :_____________________
BANK REFERENCES
Bank Name Address, City, Country - Phone Account Number
2
1
3
1
Insurance Companies Risk Insured Values
2
3
Properties
Real Estates Information
Vehicles:
OwnerShip Composition (Partners)
Name Id
1
2
The
above
information
is
for
the
purpose
of
obtaining
commercial
credit
and
is
true,
correct
and
complete.
Corona, or any credit bureau or other investigative agency retained by Corona, is hereby expressly authorized
to investigate the above references and other data obtained from Applicant or any other person pertaining to
Applicant’s credit worthiness or financial responsibility. Applicant’s signature attests to Applicant’s financial
responsibility, ability and agreement to pay Corona’s invoices in accordance with invoice and terms of sales
granted.
4
5
6
