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Credit Application

1. APPLICANT INFORMATION

Company name:

Contact person:

Phone:

Fax:

Billing address:

City:

State:

ZIP:

Shipping address:

City:

State:

ZIP:

Accounts Payable email

Requested start date:

Restaurant contact email

Year Established:

Amount of Credit limit requested:

Type of Business:

Federal Employer ID:

Social Security Number:

Please note: If Corporation, please give Federal ID # or if individual please give Social Security Number (if applicable)

Sales Tax status:

Exempt

Non-Exempt

Company Purchase Orders:

Yes

Dunn & Bradstreet Number:

PACA License Number (if applicable):

Authorized buyer(s): Name/Title:

2. NAME OF OWNERS OR AUTHORIZED OFFICERS OF THE COMPANY REQUIRED:

Name:

SS#:

Phone:

Fax:

Residence address:

City:

State:

ZIP:

Name:

SS#:

Phone:

Fax:

Residence address:

City:

State:

ZIP:

3. CREDIT REFERENCE 1

Account name:

Contact person:

Phone:

Fax:

Billing address:

City:

State:

ZIP:

Account number:

Number of years:

4. CREDIT REFERENCE 2

Account name:

Contact person:

Phone:

Fax:

Billing address:

City:

State:

ZIP:

Account number:

Number of years:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

June 14, 2023 8:32 am PDT

Daylight Credit Application Page 2 Uploaded by Keith Brewer - accountsreceivable@daylightfoods.com IP 74.213.250.214

1. APPLICANT INFORMATION
Company name:	Contact person:	Phone:	Fax:
Billing address:	City:	State:	ZIP:
Shipping address:	City:	State:	ZIP:
Accounts Payable email	Requested start date:
Restaurant contact email
Year Established:	Amount of Credit limit requested:
Type of Business:
Federal Employer ID:	Social Security Number:

Please note: If Corporation, please give Federal ID # or if individual please give Social Security Number (if applicable)
Sales Tax status: Exempt Non-Exempt Company Purchase Orders: No Yes	Dunn & Bradstreet Number:
PACA License Number (if applicable):
Authorized buyer(s): Name/Title:
2. NAME OF OWNERS OR AUTHORIZED OFFICERS OF THE COMPANY REQUIRED:
Name:	SS#:	Phone:	Fax:
Residence address:	City:	State:	ZIP:
Name:	SS#:	Phone:	Fax:
Residence address:	City:	State:	ZIP:
3. CREDIT REFERENCE 1
Account name:	Contact person:	Phone:	Fax:
Billing address:	City:	State:	ZIP:
Account number:	Number of years:
4. CREDIT REFERENCE 2
Account name:	Contact person:	Phone:	Fax:
Billing address:	City:	State:	ZIP:
Account number:	Number of years: