Credit application form
To: Harbor Print Services Ltd
Send the completed form to: credit@harborprint.example
Date: 14 March 2027
1. The applicant
Legal name: Brightwater Analytics GmbH
Trading name: Brightwater
Type of business: Limited liability company
Registration number: HRB 218734
Tax or VAT number: DE 123 456 789
Year started: 2016
Registered address:
Hafenstrasse 12, 20457 Hamburg, Germany
Contact: Lena Fischer, Finance Manager, lena@brightwater.example, +49 40 555 0182
Email for invoices: accounts@brightwater.example
2. Owners, directors or partners
Jonas Weber, director, 60%
Anna Keller, director, 40%
3. What the business does
Market research and customer surveys for retail brands
4. Credit requested
Credit limit requested: EUR 25,000
Expected purchases each month: EUR 8,000
Payment terms requested: 30 days from the invoice date
5. Bank details
Hanse Bank, Hamburg main branch, account ending 4821
Contact at the bank: Mia Schulz, +49 40 555 0100
6. Trade references
Please give three businesses that supply you on credit.
| Supplier | Contact person | Phone or email | Account since | Credit limit |
|---|---|---|---|---|
7. Guarantee
Guarantor: Jonas Weber, director
☐ A guarantee is attached
☐ No guarantee is required
8. Declaration and authorisation
The applicant declares that the information in this form is true and complete, and will tell Harbor Print Services Ltd promptly if it changes. The applicant allows Harbor Print Services Ltd to contact the banks and trade references named above, and to ask a credit reference agency for information about the business, and agrees that Harbor Print Services Ltd may refuse credit or change or withdraw a credit limit at any time. If credit is given, the applicant agrees to pay each invoice by the due date and to follow the supplier's terms of sale.
Name: Jonas Weber
Title: Managing director
Signature: ______________
Date: ______________
The supplier will tell the applicant in writing whether credit is granted, and on what terms. Orders are accepted at the applicant's risk until then, and may need to be paid in advance.
9. For the supplier's use
| Item | Entry |
|---|---|
| Credit limit approved | |
| Payment terms approved | |
| Checks made | |
| Approved by | |
| Date |
10. How this information is used and kept
Harbor Print Services Ltd uses this form to decide on credit, to check the applicant and its references, to collect what is owed and to meet legal duties. It is seen only by the staff who decide on and manage credit, and by the agencies and references named above. It is kept for 6 years after the account closes and then deleted. People named in it may ask to see or correct their details.