CompanyName
CompanyAddress
Suite
CompanyCity
CompanyState
CompanyZip
CompanyPhone
CompanyFax
OwnershipType
Sole Proprietor
Partnership
Corporation
Limited Liability Company
ChecksPayable
EIN
Owner1
Title1
HomeAddress1
City
State
Zip
HomeTelephone
YearsThere
OwnRent
Own
Rent
SSN
From
Owner2
Title2
HomeAddress2
City2
State2
Zip2
HomeTelephone2
YearsThere2
OwnRent2
Own
Rent
SSN2
EMailAddress2
BankReference
BankContactName
Account#
BankTelephone
TradeReference
RefContactName
RefAccount#
RefTelephone
HowLongBusiness
Products/Services
AnnualSalesVolume
AverageTicket
EstMonthBusiness
EstAvgTicket
HowDoYouShip
HowDoYouSell
Retail Store
Mail Order
Phone Order
Internet
AcceptCreditCards
No
Yes
VisaMCRate
AmexRate
DiscoverRate
CheckDraftService
IfYesName
TheirRate
HowManyItems
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