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Credit Application Form Template – Washington
Use this template to request credit while documenting verification touchpoints and secure handling of application materials.
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Credit Application Form Template
[Creditor/Lender Name]
[Address]
[Phone] [Email] [Website]
Application Date: [MM/DD/YYYY]
Application Type: [Individual / Joint / Business]
1. Banking Verification and Contact Log
Primary Bank: [Name] Branch: [Location] Account Type(s): [Checking/Savings/Operating] Account Number (last 4): [XXXX]
Bank Contact: [Name/Phone/Email]
Record bank verification contacts and outcomes:
Date | Contact Method | Person Reached | Information Confirmed | Outcome |
[MM/DD/YYYY] | [Call/Email/Portal] | [Name/Dept] | [Account standing/relationship/other] | [Verified/Pending/Unable] |
[MM/DD/YYYY] | [Call/Email/Portal] | [Name/Dept] | [Account standing/relationship/other] | [Verified/Pending/Unable] |
2. Applicant Information
Legal Name: [First Middle Last or Business Legal Name]
DBA (if any): [Name]
Entity Type (for business): [LLC/Corp/Sole Prop/Partnership/Nonprofit]
Tax ID / SSN / EIN: [Number]
Primary Address: [Street, City, State/Province, Postal Code, Country]
Phone: [Number] Email: [Address] Website (if any): [URL]
Primary Contact: [Name, Title, Phone, Email]
3. Credit Request
Requested Credit Type: [Revolving/Net Terms/Installment/Lease/Other]
Requested Credit Limit/Amount: [Amount]
Requested Terms: [Net 30/APR %/Tenor/Other]
Intended Use of Credit: [Working capital/equipment/inventory/other]
4. Employment or Business Profile
For individuals: Employer: [Name] Title: [Role] Start Date: [MM/YYYY] Monthly Gross Income: [Amount] Other Income: [Source/Amount]
For businesses: Formation Date: [MM/DD/YYYY] Industry/NAICS: [Code/Description] Employees: [#] Annual Revenue: [Amount] YTD Revenue: [Amount] Owners and %: [List]
5. Trade References
Reference 1: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
Reference 2: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
Reference 3: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
6. Financial Information
For individuals: Housing Payment: [Amount] Own/Rent: [Own/Rent] Assets: [Summary] Liabilities: [Summary] Supporting Documents: [Pay stubs/tax return/other]
For businesses: Fiscal Year Financials: [Attached Y/N] Interim Financials (YTD): [Attached Y/N] AR/AP Aging: [Current/30/60/90+] Debt Schedule: [Lender, balance, rate, maturity]
7. Data Security and Consent Acknowledgment
Submission Method: [Secure portal/encrypted email/in-person/other]
Authorized Use of Data: [Underwriting, fraud prevention, account servicing, collections] consistent with applicable law.
Applicant acknowledges that access to submitted data is limited to [Authorized Personnel/Service Providers] for the purposes stated.
8. Certifications and Consents
The undersigned certifies that the information provided is true, correct, and complete and authorizes the creditor to obtain consumer and/or commercial credit reports and to contact banks and trade references for verification now and in the future for account review, maintenance, or collection.
The applicant agrees to notify the creditor of any material changes to the information provided.
9. Personal Guaranty (If Required)
Guarantor Name: [Full Name] Home Address: [Address] SSN/Tax ID (last 4): [XXXX]
Signature: __________________________ Date: __________
10. Terms and Conditions Acknowledgment
If approved, the account will be governed by the creditor’s account terms, including payment obligations, late fees, finance charges, and remedies upon default.
Applicant acknowledges receipt or availability of those terms and agrees to be bound upon acceptance of credit.
11. Attachments Checklist
Supporting Documents: [Government ID, proof of address, formation documents, ownership list, financial statements, AR/AP aging, other]
12. Signatures
Applicant/Authorized Signer: [Full Name] Title (if business): [Title]
Signature: __________________________ Date: __________
Bank Verification Contact (optional): [Full Name] Title: [Title]
Signature: __________________________ Date: __________
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Learn more about
Credit Application Form Template – Washington
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Washington Credit Application Form Template FAQ
Why include a bank verification contact log inside the application?
A contact log gives both parties a clear record of verification attempts and outcomes without relying on scattered emails or memory. If underwriting depends on confirming a banking relationship, the log provides dates, contact methods, and what was confirmed, which can speed resolution when a bank contact is hard to reach. It also helps applicants understand why a decision is pending if verification is incomplete. Using a structured log can reduce repeated contacts and ensures the creditor is working from the same information each time verification is attempted.
What does the data security acknowledgment accomplish?
The acknowledgment creates a shared record of how application data is submitted and who is permitted to access it for underwriting and servicing purposes. This is especially useful when documents are sent through portals or shared folders and multiple stakeholders are involved. By capturing the submission method and authorized use, the application reduces uncertainty about where sensitive information is stored and why it is being processed. It also helps applicants choose a secure submission method and avoid sending sensitive documents through channels that could be accessed by unintended recipients.
How can applicants reduce delays caused by bank or reference verification?
Choose references and bank contacts who are reachable and can confirm information. Provide direct phone numbers or email addresses, and include any account identifiers the contact needs to locate the relationship without exposing unnecessary sensitive data. If you know a bank requires written authorization before speaking with a creditor, include that authorization with the application packet. Delays often occur because the creditor cannot reach the right person or lacks enough information to confirm the relationship. A designated decision contact can also help coordinate fast follow-ups.
Is it better to submit supporting documents through a portal or by email?
A portal can be easier to track and can reduce the risk of documents being forwarded incorrectly, but the best method depends on what the creditor offers and what your organization can support. If email is used, encrypted delivery and restricted-access links are common ways to reduce exposure. Regardless of method, label documents clearly so reviewers can match them to the application sections. The goal is a verifiable packet where the numbers on the application align with the documents provided. AI Lawyer can help you generate a clean, branded form that works well with secure submission workflows.
What should be included in the authorized use of data scope?
The scope should reflect the reasons the creditor needs the information: underwriting, fraud prevention, account servicing, and collections if necessary. Keeping the scope aligned with the purpose of the application reduces confusion and helps applicants understand why certain information is requested. If service providers are involved, referencing them at a high level helps explain why data might be processed outside the creditor’s core team. Clear scope language also supports consistent handling of the application packet across departments over the life of the account.
When does a personal guaranty become part of the application?
A guaranty is typically used when the creditor wants an additional source of repayment beyond the business entity, such as when the business is new, the requested limit is high, or trade history is limited. The guaranty section can remain blank unless the creditor requires it. If required, the guarantor’s identity fields should be completed carefully and the signer should understand that the guaranty is tied to the account terms. Keeping guaranty fields separate helps ensure only the intended guarantor is bound.
What is the fastest way to make a credit decision more predictable?
Provide complete information that can be verified quickly. That usually means a clear credit request, consistent revenue or income data supported by documents, reachable bank and reference contacts, and a single point of contact who can respond to questions. Avoid inconsistent reporting periods that create mismatches between the form and the documents. Predictability improves when underwriting has enough information to assess both capacity and behavior, rather than spending time chasing missing references or clarifying conflicting numbers.
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