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2022-11-14T05:05:23+00:00
Net Account Application
You must be an Authorized Officer and Controlling Party of the business entity to submit this application. When opening an account, Federal regulations require that we obtain, verify, and record information for Beneficial Owners of an entity customer. For this application, Beneficial Owners are key individuals who directly or indirectly own the company, at a level of 25% or greater ownership, or are the trustee of a trust that has 25% or greater ownership. If a Trust owns 25% or greater, then enter the Trustee’s information as the owner.
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Contact Information
Name
*
First
Last
Email
*
BUINESS INFOMATION
Legal Business Name
*
Business Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Website / URL
Organization Type
*
Non-Profit
Sole proprietor
Corporation
Government
Net Type
*
Net 30
Net 60
Net 90
EIN
*
DUNS
Phone
*
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