Commercial Credit Application Template

Commercial Credit Application — Template

[YOUR BUSINESS NAME]
ABN / ACN: [Your ABN/ACN]
Address: [Your Address]
Phone: [Your Phone]
Email: [Your Email]

APPLICATION FOR COMMERCIAL CREDIT

SECTION 1 — APPLICANT DETAILS

Business / Trading Name: ___________________________________
Legal Entity Name (if different): ___________________________
Business Structure: ▢ Sole Trader   ▢ Partnership   ▢ Company   ▢ Trust
ABN: ________________________________
ACN (if company): ___________________
Date Business Established: ______________
GST Registered: ▢ Yes   ▢ No

Registered Business Address: ________________________________
Postal Address (if different): _______________________________
Phone: ______________________ Fax: _______________________
Email (accounts): ________________________________________
Website: _________________________________________________

SECTION 2 — DIRECTOR / PROPRIETOR / PARTNER DETAILS

Complete for each director, proprietor, or partner (attach additional pages if required).

Full Name: _____________________________________________
Title: ▢ Mr   ▢ Ms   ▢ Mrs   ▢ Dr   ▢ Other: _______
Date of Birth: __________________________________________
Driver Licence / Passport No.: ___________________________
Residential Address: _____________________________________
Mobile: _______________________________________________
Email: ________________________________________________

SECTION 3 — CREDIT REQUEST

Credit limit requested (AUD): $ _________________________
Payment terms requested:   ▢ 7 days   ▢ 14 days   ▢ 30 days   ▢ Other: _______
Estimated monthly purchase value: $ ____________________
Nature of goods / services to be purchased: ________________

SECTION 4 — TRADE REFERENCES

Provide two trade references (current suppliers who can confirm payment history).

Reference 1
Business Name: ______________________ Contact: _____________
Phone: _________________________ Email: ___________________
How long trading: ____________ Approx. credit limit: $ ______

Reference 2
Business Name: ______________________ Contact: _____________
Phone: _________________________ Email: ___________________
How long trading: ____________ Approx. credit limit: $ ______

SECTION 5 — BANKING DETAILS (for direct debit authority if applicable)

Bank: _________________________ BSB: ___________________
Account Number: ________________ Account Name: ____________

SECTION 6 — TERMS AND CONDITIONS OF TRADE

By signing below, the Applicant agrees to [Your Business Name]'s standard terms and conditions of trade, a copy of which has been provided to / is available from [Your Business Name] on request, and in particular acknowledges that:

1. Payment is due within [7/14/30] days of the invoice date (or as otherwise stated on the invoice).
2. Overdue amounts accrue interest at [X]% per annum, calculated daily from the due date until payment in full.
3. [Your Business Name] is entitled to recover all reasonable costs of collection, including debt recovery agency fees and legal costs, from the Applicant.
4. Title to goods supplied does not pass until payment is received in full (retention of title clause).
5. The Applicant consents to [Your Business Name] conducting a credit check and retaining this information in accordance with the Privacy Act 1988 (Cth).
6. A credit limit will be assessed and notified by [Your Business Name] and may be varied at any time without notice.

SECTION 7 — PERSONAL GUARANTEE (where applicant is a company)

In consideration of [Your Business Name] extending credit to [Company Name] ABN / ACN [number] ("the Company"), I/we, the undersigned director(s), personally and unconditionally guarantee the due and punctual payment of all amounts owed by the Company to [Your Business Name] now or in the future. This guarantee is a continuing obligation and is not discharged by any variation of the terms of trade, the granting of time or other indulgence, or any other act or omission. I/we acknowledge that I/we have had the opportunity to seek independent legal advice before signing this guarantee.

Guarantor Full Name: ____________________________________
Guarantor Signature: ____________________________________ Date: ___________
Witness Name: ________________________________________
Witness Signature: ______________________________________ Date: ___________

SECTION 8 — APPLICANT AUTHORISATION

I/We declare that the information provided in this application is true and correct, and I/we authorise [Your Business Name] to make such credit and background inquiries as it considers necessary.

Signed by: _____________________________________________
Full Name: _____________________________________________
Position / Title: ________________________________________
Date: _________________________________________________
Company Seal (if applicable): ______________________________