© Copyright Biztree Inc. 2010. All rights reserved. Protected by the copyright laws of the United States and Canada and by international treaties. IT IS
ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE
TO ANY OTHER PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL AUTOMATICALLY BE SUED IN A
COURT OF LAW.
© Copyright Biztree Inc. 2010. All rights reserved. Protected by the copyright laws of the United States & Canada and by International treaties. IT IS ILLEGAL AND
STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER PARTY, THIS
PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.
BINARY BIOMETRICS CREDIT APPLICATION
Name/Address
Last:
First:
Middle Initial:
Title
Name of Business:
Tax I.D. Number
Address:
City:
State:
ZIP:
Phone:
Company Information
Type of Business:
In Business Since:
Legal Form Under Which Business Operates:
State/Province:
Corporation
Proprietorship 
If Division/Subsidiary, Name of Parent Company:

Partnership 
In Business Since:
Name of Company Principal Responsible for Business Transactions:
Address:
City:
State:
Title:
ZIP:
Name of Company Principal Responsible for Business Transactions:
Address:
City:
State:
Phone:
Title:
ZIP:
Phone:
Bank References
Institution Name:
Institution Name:
Institution Name:
Checking Account #:
Savings Account #:
Home Equity Loan:
Address:
Address:
Address:
Phone:
Phone:
Phone:
[YOUR COMPANY NAME]:
[YOUR COMPANY NAME]:
[YOUR COMPANY NAME]:
Contact Name:
Contact Name:
Contact Name:
Address:
Address:
Address:
Phone:
Phone:
Phone:
Account Opened Since:
Account Opened Since:
Account Opened Since:
Credit Limit:
Credit Limit:
Credit Limit:
Current Balance:
Current Balance:
Current Balance:
Loan Balance:
Trade References
Financial Information
Company Total Assets
Income
Company Total Liabilities
Annual Net
Have you or your officers or affiliates ever filed a petition in bankruptcy?
Is your company subject to any litigation?
Yes 
No 
Amount of Credit Requested:
Yes 
No 
If so, describe:
We declare that the above information is true, correct and complete and is given to induce the
Company to extend credit. We authorize the Company to make such credit investigation as the
Company sees fit, including contacting the above trade references and banks and obtaining credit
reports. We authorize all trade references, banks and credit reporting agencies to disclose to the
Company any and all information concerning the financial and credit history of my company and
myself:
I have read the terms and conditions stated above and agree to all of those terms and conditions.
Name of Company:
_______
Authorized Signature:
_______
Title:
_______
Printed Name:
_______
©
C
o
p
y
r
i
g
h
t
B
i
z
t
r
e
e
I
n
c
.
2
0
1
0
.
A
l
l
r
i
g
h
t
s
r
e
s
e
r
v
e
d
.
P
r
o
t
e
c
t
e
d
b
y
t
h
e
c
o
p
y
r
i
g
h
t
l
a
w
s
o
f
t
h
e
U
n
i
t
e
d
S
t
a
t
e
s