FINANCIAL INFORMATION
Please provide a copy of your latest Financial Statement or Annual Report. (Refusal to provide financial information will not automatically disqualify an application; however, considerable emphasis is placed on its contents.)
Approximate amount of credit Applicant requires per month:_________________, which request shall not be binding upon Seller, nor shall Seller incur liability by granting, decreasing, increasing, changing or refusing said request.
Payment for materials provided by Seller will be paid from:
Place ______________________________________ by __________________________________
Location or City Company or Individual
Signature ___________________ Title _____________________ Date _____________________
Application for