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Credit Application

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Business Credit Application

Principal Owner(s) or Officer(s) Are:

NAME SOC. SEC. # TITLE RESIDENCE ADDRESS PHONE

Individual Information

Bonded

In consideration of the extension of credit by the undersigned purchaser hereby agrees that the terms and conditions of all sales are as follows:

1. Terms of sale are: Net Due 10th of each month following purchases. Invoices not paid within such time are past due and subject to service charge of percent per month (effective rate percent per annum).

2. Should this account upon default, be collected by or through an attorney at law, the undersigned agrees to pay reasonable attorney's fees in addition to the principal indebtedness and interest thereon.

3. Should purchaser be a corporation or partnership, for good and valuable consideration, including the extension of credit to the principal, the undersigned, whether officer, partner, agent, or otherwise agree that by execution hereof or behalf of the principal he or they is/ are personally liable, jointly and severally with the principal, as a guarantor(s) for the payment of all indebtedness or liabilities incurred pursuant to this agreement. Demand for payment and notice of indebtedness and default are expressly waived. In the event of default, each of the undersigned hereby assign to seller a sufficient portion of his homestead exemption to which he may be entitled under laws of the state of his residence to pay his obligation hereunder. The terms and conditions hereof and the guarantee herein given shall continue in full force and effect until such time as the seller, shall receive from the undersigned written notice of revocation, and such revocation shall not in any way relieve the undersigned from indebtedness or liability incurred prior to the actual receipt by seller of such notice of revocation.

4. It is agreed that the sales, whether invoiced to the purchaser in his or its individual, corporate or partnership name or in any trade name or in the name of any subsidiary company or in the name of any officer or agent, shall nevertheless be an indebtedness of the purchaser hereon stated.

5. Purchaser agrees to examine all invoices and statements promptly upon receipt and to notify seller immediately of any failure of delivery, shortage, discrepancy, or error, and further agrees that such invoice or statement shall be presumed correct unless he or it shall notify seller in writing of such failure of delivery, shortage, discrepancy, or error within thirty (30) days of his or its receipt of such invoice or statement, which shall be presumed to have been received on or before the fifteenth (15th) day of the month succeeding purchases.

6. Seller disclaims all warranties, express or implied, to the extent permitted.

7. Purchaser agrees to immediately examine shipment and agrees to notify seller promptly of any errors in shipment and of any defective material supplied.

8. Use of material shall constitute a waiver of any error in shipment or defect in material which might have been determined by a prompt and diligent inspection thereof.

9. Seller retains title and security interest in all appliances until paid for, and in all materials until such shall lose its character as personal property.

I/We authorize any government agency, be it federal, state, or county to furnish information to

NOTICE: DO NOT SIGN AGREEMENT UNTIL YOU HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS THEREOF.

By:

President

By:

Secretary- Treasurer

CORPORATE OFFICERS MUST ALSO SIGN AS INDIVIDUAL GUARANTORS

INDIVIDUALS & PARTNERSHIPS SIGN HERE:

Individual Guarantor

Individual Guarantor

AUTHORIZED SIGNATURES FOR PURCHASE ON ACCOUNT

Recommended By:

Store Manager

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What a Credit Application Is and how it’s used

A Credit Application is a standardized form used by lenders, suppliers, and service providers to evaluate an applicant’s creditworthiness, request identifying and financial details, and obtain authorization for credit checks and references. It typically collects applicant name, business or personal tax ID, contact and employment information, income or financial statements, trade references, and signature. Credit Applications may be executed on paper or electronically; when signed and retained in electronic form they are generally enforceable under U.S. e-signature law (ESIGN and UETA) provided intent, consent, attribution, and retrievability are satisfied.

Why a clear Credit Application matters for underwriting

A well-constructed Credit Application speeds decision-making, reduces documentation errors, and creates a consistent audit trail for compliance and dispute resolution. Accurate data capture supports reliable credit checks, faster onboarding, and clearer recordkeeping for regulatory or tax needs.

Why a clear Credit Application matters for underwriting

Who typically completes and accepts Credit Applications

Lenders, vendors, and service providers use Credit Applications to screen applicants, document terms, and obtain consent for background or credit checks.

  • Small business owners seeking trade credit and payment terms from suppliers.
  • Banks, credit unions, and specialty lenders underwriting consumer or commercial credit.
  • Accounts receivable and vendor management teams approving net terms for corporate customers.

Roles often overlap: the applicant provides the data, while credit, legal, or AP teams verify information and authorize risk-based decisions.

Stepwise process to complete and submit a Credit Application

Follow these steps to complete, verify, and submit a Credit Application accurately and securely.

  • 01
    Gather Documents: Collect IDs, tax documents, and financial statements.
  • 02
    Enter Information: Complete required fields; use MM/DD/YYYY for dates.
  • 03
    Consent: Obtain explicit consent for any credit or background checks.
  • 04
    Submit: Send via secure upload or eSignature-enabled method.

Essential parts of a professional Credit Application

A professional Credit Application groups identification, financial, and authorization details so reviewers can make consistent, auditable decisions.

Applicant Details

Full name, business name, contact information, and government identifiers so reviewers can match credit bureau and tax records without ambiguity.

Financial Information

Requested revenue figures, bank references, and recent financial statements provide the basis for credit limits and payment terms.

Employment / Ownership

Current employment or ownership details establish the applicant’s ability to meet obligations and support identity verification.

Trade References

Supplier and vendor references with contact details help validate payment history and existing trade credit relationships.

Consent & Authorizations

Explicit language authorizing credit reports, consumer disclosures, and electronic records ensures compliance with FCRA and ESIGN/UETA expectations.

Signature & Date

A clear signature block with printed name, title, and date finalizes the application and documents intent to be bound.

Required data elements commonly collected

Name: Full legal name
Tax Identifier: SSN or EIN
Contact Information: Phone and email
Address: Street, city, state, ZIP
Income: Annual or monthly amount
Signatures: Signed and dated block

Common preparation mistakes to avoid

  • Leaving fields blank or entering approximate figures, which leads to follow-up requests and slower underwriting.
  • Using inconsistent names or addresses that do not match credit bureau or tax records, delaying verification and decisioning.
  • Failing to obtain express consent for credit checks and electronic delivery, creating regulatory or consumer-disclosure gaps.
  • Not retaining an audit trail or signed copy, which complicates dispute resolution and diminishes evidentiary value.

Key risks and potential consequences

Denied Credit: Application may be refused
Regulatory Risk: FCRA or state privacy issues
Identity Risk: Fraud or misidentification exposure
Tax Consequences: Backup withholding may apply
Contract Risk: Disputed terms without clear record
Operational Delay: Longer onboarding cycles

How to configure an online Credit Application workflow

Configure fields, authentication, and integrations so completed applications flow into your approval and accounting systems.

Field | Configuration Field Name | Setting
Authentication Email plus optional SMS code
Conditional Fields Show income fields if business selected
Template Save as reusable form
Integrations Map fields to CRM or ERP

Digital signing and platform needs

Choose a signing platform that supports secure authentication, audit trails, and integration with your CRM or accounting system.

  • Authentication: Email, SMS, or KBA
  • Integrations: Salesforce, NetSuite, Microsoft 365
  • Formats: PDF, DOCX, XLSX supported

Verify the provider supports required compliance frameworks (ESIGN/UETA, HIPAA if healthcare-related, 21 CFR Part 11 if FDA-regulated) and preserves a tamper-evident audit trail for each signed Credit Application.

Typical submission and routing flow

A standard online flow minimizes manual steps and records each action for audit and compliance purposes.

  • Upload: Sender uploads the application document
  • Place Fields: Add signature, date, and data fields
  • Invite Signer: Send email or link to applicant
  • Receive Copy: Signed document and audit trail stored

eSignature vendor comparison for Credit Application workflows

Basic plan pricing and feature availability vary; signNow is listed first to match typical procurement comparisons.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Available (Premium) Varies by plan Varies by plan Varies by plan Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes (BAA available) Varies by plan Varies by plan Varies by plan Varies by plan

Real-world examples of Credit Application use

These examples show how organizations applied electronic Credit Applications to reduce friction and recordkeeping time.

Optica Ventures

Optica needed a simpler process for customer onboarding

  • The interface is simple and easy-to-use
  • The online application reduced back-and-forth with customers, shortened onboarding time, and made it easier to capture consistent identity and financial data for underwriting.

Xerox

Xerox integrated credit forms with back-office systems

  • airSlate SignNow provided flexibility
  • Integration with existing NetSuite workflows allowed automated field mapping, fewer manual entries, and faster approvals for vendor and customer credit accounts.

Who signs and approves a Credit Application

Applicant — Individual

The individual applicant or authorized business representative must sign, confirming identity and consent for credit checks; electronic signatures must show intent, consent, and attribution to be valid.

Authorized Officer — Lender

A designated loan officer or accounts receivable manager executes on behalf of the lender or vendor to accept terms and set credit limits, documenting approval in the system.

Frequently asked questions about Credit Applications

Answers to common questions about electronic completion, signatures, corrections, and retention for Credit Applications.


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