Full Application

  1. BUSINESS INFORMATION





  6. *Company's Legal Business Name:
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  7. *Address:
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  8. *City:
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  9. *State:
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  10. *Zip:
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  11. *Telephone:
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  12. Fax:
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  13. *Contact:
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  14. *Business Description:
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  15. *Federal Tax ID #:
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  16. *Years in Business:
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  17. *E-mail
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  18. *Organization Structure
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  19. *Other
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  1. CPA INFORMATION

  2. CPA/Auditor:
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  3. Phone:
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  4. Fax:
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  5. Contact:
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  6. CPA E-mail
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  1. Information on principal guarantors, owners & partners





  6. Corporation Only? Invalid Input
  7. *Owner 1 (Full Name):
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  8. Social Security #:
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  9. Home Address:
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  10. City:
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  11. State:
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  12. Zip:
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  13. Phone:
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  14. *Percentage Ownership (Company):
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  19. Owner 2 (Full Name):
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  20. Social Security #:
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  21. Home Address:
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  22. City:
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  23. State:
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  24. Zip:
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  25. Percentage Ownership (Company):
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  26. Phone:
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  1. Bank reference





  6. *Bank Name
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  7. Address/Branch
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  8. Account #
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  9. Phone
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  10. Contact
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  1. Trade reference





  6. *Trade Name
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  7. Address
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  8. Account #
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  9. Phone
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  10. Contact
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  1. Equipment request





  6. *Equipment Cost:
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  7. Invalid Input
  8. *Equipment Description:
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  9. Equipment Supplier:
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  10. Contact:
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  11. Address:
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  12. Phone:
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  13. Terms:
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  14. Fax:
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  15. I/We certify that the above information is true and correct and I/We authorize any bank, financial institution, or trade reference to release any information as may be requested by Tetra Corporate Services, LLC and or its assigns. I/We also hereby authorize Tetra Corporate Services, LLC and or its assigns to obtain other background or credit information and relate this information to others as necessary.

  16. TRUE AND CORRECT ESIGNATURE STATEMENT

    For the purpose of obtaining financing with Tetra Corporate Services, LLC, and otherwise procuring credit from time to time, I have honestly and willfully furnished you with the information on the Tetra Corporate Services website. I agree to and will notify you immediately in writing of any materially unfavorable change in any financial condition that may have an effect on our ability to finance, and in the absence of such notice, or of a new and full written statement, this may be considered as a continuing statement and substantially correct; and it is hereby expressly agreed that upon application for further credit, this statement shall have the same force and effect as if delivered as an original statement of financial condition at the time such further credit is requested.

    AS THE SUBMITTER OF THIS APPLICATION, I HEREBY CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT OF THE ABOVE MENTIONED INDIVIDUAL, FIRM OR CORPORATION NOW ON FILE WITH TETRA CORPORATE SERVICES, LLC, AND THAT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS STATEMENT REFLECTS THE TRUE CONDITION OF THE BORROWER.

  17. Full Name: Invalid Input

  18. Captcha CaptchaRefresh Invalid Input