GBC Factoring Pre-Qualification Application
Address: 110 E 9th St. Suite C900, Los Angeles, CA 90079
Contact us at (123) 244-9500 or
Email address *
Business Name, Address & Year established *
Your answer
Primary (CEO) contact name, phone number & email address *
Your answer
Annual Sales volume $ *
Your answer
Customer List *
Your answer
Please check all that applies: *
Are any Federal and/or State taxes past due? *
Has this business or its owner never been in bankruptcy? *
Has principal/partners ever been charged or convicted of any criminal offense? *
Your answer
The information supplied in this application and all forms and documents submitted to GENERAL BUSINESS CREDIT in connection herewith is true and correct to the best of my knowledge and belief. I/We hereby authorize GENERAL BUSINESS CREDIT to verify any credit information from whatever source it deems appropriate and I further authorize my/our banks, trade references and financial institutions to release by telephone or fax pertinent information. All obtained credit information will be treated confidentially and will be used only in assisting GENERAL BUSINESS CREDIT in securing factor financing. I/We will provide additional information, as GENERAL BUSINESS CREDIT deems necessary and requests including, but not limited, to financial statements, tax returns, etc. A copy of fax of this APPLICATION may be deemed to be the equivalent of original.
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