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Credit Application for Buyers

Complete this form to apply for a CIT credit line.

Please complete the form below and click "Submit". Required fields are in dark color. Optional fields are in grey.

Contact Information
First Name:
Last Name:
Title:
E-mail:
Phone:	- -
	ext.
Fax:	- -

Company Information
Legal Name of Business:
Address 1:
Address 2:
City:
State:
Country:
Zip/Postal Code:
Industry:
Industry - Other (if selected above):
Year Business Started:
Federal Tax ID Number:	-
DUNS Number:	- -

Factor Information
Are you presently factored? Yes No
If yes, enter name of factor.
Factor Contact Name:
Factor's Phone:	- -
	ext.
Factor's Fax:	- -

Bank Information
Banking Institution:
Do you borrow? Yes No
Bank Account Number:
Bank Contact Name:
Bank Phone:	- -
	ext.
Bank Fax:	- -

Trade References
Reference 1 - Institution Name:
Contact Name:
E-mail:
Phone:	- -
	ext.
Fax:	- -
Reference 2 - Institution Name:
Contact Name:
E-mail:
Phone:	- -
	ext.
Fax:	- -
Reference 3 - Institution Name:
Contact Name:
E-mail:
Phone:	- -
	ext.
Fax:	- -

Financial Reporting
Are you a private or public company? Private Public
If public, please enter ticker symbol.
What is your fiscal year-end date? Please put in month/day format - mm/dd.

What type of year-end financials do you prepare?
Are interim financials prepared? Yes No
If yes, what is the frequency that you prepare interim statements?
What type of interim financials do you prepare?

Message
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