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Customer Credit Application Form Template

Streamline Your Credit Application Process with Ease

Filling out credit applications can be daunting, but it doesn't have to be. This Customer Credit Application Form template simplifies the way your clients apply for credit, ensuring they provide all necessary information in a user-friendly format. Use it to collect details for personal or business loans, facilitate quick approvals, streamline onboarding for new customers, and maintain compliance with lending regulations. Plus, this template is responsive and ready to use, helping you get set up in no time.

Requested credit limit (USD)
Application type
Business
Individual
Legal business name
Federal Tax ID (EIN)
Date business established
Business entity type
Corporation
LLC
Partnership
Sole proprietorship
Nonprofit
Government
Other
Please Specify:
Primary contact full name
Primary contact email
Primary contact phone
Business address (street, city, state/province, postal code, country)
Annual revenue range
Under $100k
$100k-$499k
$500k-$999k
$1M-$4.9M
$5M-$9.9M
$10M+
Prefer not to say
Are you tax-exempt?
Yes
No
Trade reference 1 - Company name
Trade reference 1 - Contact phone
Trade reference 2 - Company name
Trade reference 2 - Contact phone
Bank name
Last 4 digits of bank account number
Payment terms requested
Net 15
Net 30
Net 45
Net 60
Due on receipt
Other
Please Specify:
Is a purchase order required for purchases?
Yes
No
I authorize the company to obtain credit information and make inquiries to establish credit
Yes
No
Authorized representative full name
Date
I certify that the information provided is accurate and complete
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration related to customer credit application form template and FormCreatorAI.

When to use this form

Use this form when you offer trade terms and need to set a credit limit before a first order. It suits wholesalers, manufacturers, and service providers onboarding new B2B accounts or increasing limits. You will collect legal details, ownership, trade references, and bank contacts to assess risk and approve the right terms fast. Use it to reopen dormant accounts or screen new locations, too. If the buyer needs financing instead of a trade account, route them to the Finance application form. When a broker or dealer applies on a customer's behalf, request a Third party authorization form. After approval, for billing corrections or returns, submit a Credit note request form.

Must Ask Customer Credit Application Questions

  1. What is your legal business name, trading name, and entity type?

    This confirms who you will contract with and prevents identity or tax mismatches. Entity type also signals liability and helps you assign the right terms.

  2. Who is your accounts payable contact, and what are the billing email, phone, and address?

    Clear contact details speed invoices, statements, and payment reminders. They reduce delays and help you resolve issues without chasing.

  3. Please list 2-3 trade references with contact names, emails, and phone numbers.

    References help you verify payment history and gauge risk. Consistent, timely payers support a higher limit.

  4. Who is your bank and banker contact, and what are the last four digits of your account?

    A bank reference adds an independent view of stability and available credit. Request only limited details to validate identity without exposing full account data.

  5. What credit limit and payment terms do you request, and do you consent to a credit check?

    Stating the limit and terms aligns expectations and authorizes due diligence. If timing matters, you can speed review with the Fast track application form.

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