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Credit Application Form Template – California
Use this template to collect applicant identity, financial capacity, and consent information in a consistent format.
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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. Application Snapshot
Requested Credit Type: [Revolving/Net Terms/Installment/Lease/Other]
Requested Credit Limit/Amount: [Amount]
Requested Terms: [Net 30 / APR % / Tenor / Other]
Primary Account Purpose: [Working capital/equipment/inventory/other]
Primary Decision Contact: [Name, Title, Phone, Email]
2. Applicant Identity
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]
Date of Birth (for individual): [MM/DD/YYYY]
Incorporation/Formation Date (for business): [MM/DD/YYYY]
Primary Address: [Street, City, State/Province, Postal Code, Country]
Phone: [Number]
Email: [Address]
Website (if any): [URL]
3. Employment or Business Profile
For individuals: Employer: [Name] Title: [Role] Start Date: [MM/YYYY] Monthly Gross Income: [Amount] Other Income: [Source/Amount]
For businesses: Primary Contact: [Name, Title, Email, Phone] Industry/NAICS: [Code/Description] Employees: [#] Annual Revenue (last fiscal year): [Amount] Current Year YTD Revenue: [Amount] Ownership Structure: [List owners and %]
4. Banking and Trade References
Primary Bank: [Name] Branch: [Location] Account Type(s): [Checking/Savings/Operating] Account Number (last 4): [XXXX] Bank Contact: [Name/Phone/Email]
Trade Reference 1: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
Trade Reference 2: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
Trade Reference 3: [Company, Contact, Phone/Email, Account #, Average Monthly Balance/Terms]
5. Financial Position
For individuals: Monthly Housing Payment: [Amount] Own/Rent: [Own/Rent] Assets: [Summary and estimated values] Liabilities: [Summary and balances] Supporting Documents: [Pay stubs/tax return/other]
For businesses: Fiscal Year Financials: [Attached Y/N] Interim Financials (YTD): [Attached Y/N] Accounts Receivable Aging: [Current/30/60/90+] Accounts Payable Aging: [Current/30/60/90+] Existing Debt Schedule: [Lender, balance, rate, maturity]
6. Certifications and Consents
By signing, the undersigned certifies that the information provided is true, correct, and complete and authorizes the creditor to obtain consumer and/or commercial credit reports, bank references, and trade references for account review, maintenance, or collection.
The undersigned authorizes verification of employment or business information and contact with references and financial institutions.
The applicant authorizes sharing of application data internally and with service providers for underwriting, fraud prevention, and account servicing consistent with applicable law.
The applicant agrees to notify the creditor of any material changes to the information provided.
7. Terms and Conditions Acknowledgment
If approved, the account will be governed by the creditor’s credit agreement or 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.
8. Beneficial Ownership and Control Persons (Business Applicants)
Complete the beneficial ownership and control persons matrix:
Name | Role | Ownership % | Residential Address | ID Type/Last 4 |
[Name] | [Owner/Officer/Control Person] | [%] | [Address] | [Type/XXXX] |
[Name] | [Owner/Officer/Control Person] | [%] | [Address] | [Type/XXXX] |
[Name] | [Owner/Officer/Control Person] | [%] | [Address] | [Type/XXXX] |
9. Verification and Screening Module
Identity Verification Method: [Document verification / knowledge-based / in-person / other]
Business Verification Method: [Formation records / good standing / website verification / other]
Screening Notes: [Sanctions/AML screening results and date]
10. Personal Guaranty (If Required)
In consideration of the extension of credit to the applicant business, the undersigned guarantor(s) unconditionally guarantee payment and performance of all obligations, including costs of collection and reasonable attorney’s fees, under the account terms.
This is a continuing guaranty and may be revoked in writing prospectively as to future credit only.
Guarantor Name: [Full Name] Home Address: [Address] SSN/Tax ID (last 4): [XXXX]
Signature: __________________________ Date: __________
Guarantor Name: [Full Name] Home Address: [Address] SSN/Tax ID (last 4): [XXXX]
Signature: __________________________ Date: __________
11. Attachments Checklist
Individuals: [Government ID, proof of address, income verification, other]
Businesses: [Formation documents, good standing certificate, ownership list, financial statements, AR/AP aging, tax returns (if requested), resale/exemption certificates (if relevant)]
12. Signatures
Applicant/Authorized Signer: [Full Name] Title (if business): [Title]
Signature: __________________________ Date: __________
Co-Applicant (if any): [Full Name]
Signature: __________________________ Date: __________
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Learn more about
Credit Application Form Template – California
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.
California Credit Application Form Template FAQ
What information should a business applicant gather before completing this form?
A complete business application usually requires basic identity details, a clear request for the credit type and limit, and enough financial context to support the request. Before you start, gather your legal business name, formation date, EIN, and the best contact for underwriting questions. You will typically want your latest financial statements or revenue summary, an AR/AP aging snapshot if you sell on terms, and a current debt list. Having bank and trade references ready helps avoid delays caused by follow-up requests for missing contacts or account details.
Why does the form ask for ownership structure and control persons?
Ownership and control information helps the creditor understand who ultimately benefits from, and who controls, the applicant entity. This can be relevant to identity verification, fraud prevention, and internal risk assessment, especially when the applicant is a newly formed business or operates across multiple entities. The form’s matrix structure makes it easier to capture names, roles, and ownership percentages in a consistent way. If multiple owners exist, completing the table carefully reduces the chance of inconsistent entries that trigger manual review.
How is the “requested terms” field typically evaluated?
Requested terms function as a starting point for underwriting rather than a guarantee. Lenders and suppliers compare the request to application data, credit reports, reference feedback, and internal policies. A request that matches your revenue profile and payment history is easier to approve than one that is high relative to your cash flow. If you have a specific purpose — like inventory purchase or equipment acquisition — stating that purpose can help the reviewer understand why the limit is needed. Clear requests reduce back-and-forth and shorten decision time.
What happens if you leave sections blank or provide estimates?
Blank sections often slow down review because the creditor must pause to request missing information or clarify inconsistencies. Estimates are sometimes acceptable, but they should be labeled in a way that avoids appearing misleading, especially for revenue, assets, or liabilities. If a number depends on a document — like a bank statement or financial report — providing that document can reduce follow-up questions. The most important point is consistency across the application, references, and supporting materials, because conflicting information is a common reason for manual verification.
Do you have to provide a personal guaranty for business credit?
Not always. Some creditors extend business credit without a personal guaranty, while others require one based on the applicant’s age, credit profile, requested limit, or lack of established trade history. The form keeps guaranty information in a separate section so the creditor can apply it only when needed. If a guaranty is required, the terms should be consistent with the account terms and should identify who is guaranteeing and how notices or revocation requests will be handled going forward.
How should you think about consents to pull credit and verify information?
Consents allow the creditor to verify identity, review credit reports, and contact banks or trade references for confirmation. Because the application may be reviewed not only at onboarding but later for account maintenance, the consent language often covers ongoing review as well. Applicants should ensure the signer has authority to grant these permissions on behalf of the business or the individual. If you want a clean, fill-ready version that keeps consents and verification fields organized, AI Lawyer can help generate a polished draft for your specific use case.
What’s the best way to submit supporting documents securely?
Secure submission depends on using a method that limits access and creates a clear audit trail. Many applicants use a secure portal, encrypted email, or a shared folder with restricted permissions and expiring links. It also helps to label files consistently so reviewers can match them to the relevant section of the application, such as “AR Aging” or “Debt Schedule.” If you are submitting sensitive identity data, limit documents to what the creditor requested and avoid sending full account numbers when last-four digits are sufficient.
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