United Athletic International

401 Marshall Rd. , St Louis, MO 63088   Ph: 800-877-5294  Fax:636-225-0757

 

CREDIT APPLICATION

COMPLETE LEGAL COMPANY NAME                   CORP  PROP PARTNERSHIP   L.L.C.   MUNI    NON PROFIT

     

STREET ADDRESS

     

CITY

     

STATE

     

ZIP

     

COUNTY

     

PHONE #

     

FAX#

     

EMAIL ADDRESS

     

NATURE OF BUSINESS

     

OTHER BUSINESS NAME USED

     

FEDERAL ID#

 

     

DATE BUSINESS STARTED OR DATE OF  INCORP

 

     

YEARS UNDER CURRENT OWNERSHIP

                                          

D&B#

 

     

 

 

 

 

 

 

 

 

 

OFFICERS/OWNERS/PARTNERS

NAME #1

     

NAME #2

     

TITLE

      

%OWNED

     

TITLE

     

%OWNED

     

HOME ADDRESS

     

APT.

     

HOME ADDRESS

     

 

 

CITY, STATE, ZIP 

     

CITY, STATE, ZIP

     

HOME PHONE #

     

SSN

     

HOME PHONE #

     

SSN

     

 

 

 

 

 

 

 

BANK REFERENCES

BANK NAME

PHONE #

ACCT#

CONTACT

ACCT. TYPE

 

 

 

 

 

 

TRADE REFERENCES

COMPANY NAME

PHONE #

ACCOUNT #

CONTACT

     

     

     

     

     

     

     

     

 

The undersigned authorizes all parties to release Credit & Financial information (personal or business) requested by Pinnacle Business Finance Inc. , or their affiliates.  I/we have completed this application to obtain credit and certify that all statements contained herein are true and correct.

 

Signature_________________________________________Date________________________

 

Name (please print)________________________________ Title ________________________

 

Signature_________________________________________Date________________________

 

Name (please print)________________________________ Title ________________________

 

Each of the above listed guarantors is/are willing to serve as guarantor of the above transaction.  Each of the undersigned on his or her behalf and on behalf of any such party not signing, whom the undersigned represents has given the undersigned authority to sign on his or her behalf, authorize(s) Pinnacle Business Finance, Inc. and its nominees to obtain, and all such parties to release, credit and financial information (personal or business) requested by Pinnacle Business Finance, Inc. or its nominees and for such parties to provide information to others regarding their relations with the undersigned and each such other guarantor.  I/we completed this application to obtain credit for the applicant and certify that all statements contained herein are true and correct.