All-Lift Wholesale, Inc.

Phone: (661) 706-4920, (661) 706-4921
Fax: (661) 663-0335

Credit Application / Equipment Financing
Company  
Address  
Phone   Fax   Cell  
Type of Ownership:    Corporation   Partnership   Individual
Years in Business  
Federal Tax ID#   Resale #  
Owner's Name/Title   S/S#  
Owner's Name/Title   S/S#  
Owner's Name/Title   S/S#  

Bank References
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Bank Name   Phone #   Acct #  

Trade References
Name   Phone #   Fax #  
Name   Phone #   Fax #  
Name   Phone #   Fax #  


Signature & authorization to release information: Date