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Pegasus Technology Solutions

Credit Application

A: Business Information

Registered Company Address:

Date Business Commenced:
Month
Day
Year
Business Stucture:

B: Business and Credit information

C: Accounting Contact Information

D: Officers or Owners of the Company

E: Bank Reference

Bank Address:

F: Credit References

G: Miscellaneous Information

1. Is organization sales tax exempt?
Yes
No
2. Are intended purchases for resale?
Yes
No
3. Has applicant or any of the officers or owners listed above ever been a debtor in a bankruptcy?
Yes
No
4. Are there any unsatisfied judgements against applicant or any of the officers or owners listed above?
Yes
No
5. Are there any legal actions or arbitrations pending against the applicant or any of the officers or owners listed above?
Yes
No
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