Worldwide Equipment Sales, LLC                                                       Specialty Markets Credit Application
                       601 Walnut Ct                                                                                                         Call (815) 725-4400 or Fax (815) 725 - 4446
                     Rockdale IL, 60436                                                       



      Salesman's Name

Customer Information  
 

 
 
   

Business Type
 
 
   

Owners, Partners and
Guarantors
 
 
 
 
 
 
 

Bank and Comparable
Loan/Lease Referances
 

Trade Referances
 
 

By submitting this Application, you grant consent to and authorize Worldwide Equipment Sales LLC and its agents, designee(s), or assignee(s) to obtain commercial and consumer credit reports and make other credit inquiries that it determines necessary, and you represent that each individual listed on this Application as a principal, partner, owner, guarantor or obligor likewise has authorized Worldwide Equipment Sales LLC to obtain consumer credit reports and make other credit inquiries that it deems necessary on them. You also warrant the information on or accompanying this Application is true and complete, and you agree to notify Worldwide Equipment Sales LLC of any material change in any such information. You authorize Worldwide Equipment Sales LLC and any credit bureau or investigative agency to investigate the references, statements and other data on or accompanying this Application, and you authorize anybody contacted to release credit and financial information requested as part of said investigation. Finally, you confirm that this Application is submitted in connection with financing solely for business and commercial purposes and NOT for personal, family or household purposes. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask your name , address, date of birth, and other information that will allow us to identify you. We may also ask for your drivers licence or other identifying documents.EQUAL CREDIT OPPORTUNITY ACT. If your application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain the statement, please contact our Customer Service Representative, 601 Walnut Ct. Rockdale, IL 60436 (815)725-4400 within 60 days from the date you are notified of our decision. We will send you a written statement of reason for the denial within 30 days of receiving your request for the statement. NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race,color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has good faith exercised any right under the Consumer Credit Protection Act. the federal agency that administers compliance with this law concerning this creditor is the Office of the Comptroller of the Currency, Customer Assistance Group, 1301 McKinney Street, Suite 3710, Houston, Texas 77010.