Orange County NC Website
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Orange County NC <br />Radio Communication Tower and System Infrastructure Upgrade <br />RF Coverage and Sites/Towers <br />Credit Application <br />Business Entity Name: Web Site: <br />Phone: Fax: <br />Address: For: years <br />Street City State ZIP Code <br />Billing Address: <br />Street City State ZIP Code <br />Previous Address: <br />Street <br />Federal Tax I.D. Number: DIB /A: <br />Parent Company: <br />Address: <br />Street <br />Subsidiaries /Affiliates: <br />City State <br />_ # Locations: <br />City State <br />Type of Business: Date Established: <br />Does State /County /City require a License? Yes ❑ No ❑ If Yes, License #: _ <br />Company Status: ❑ Sole Proprietorship` ❑ Partnership' ❑ Corporation ❑ LLC ❑ LLP <br />'Attached Personal Guarantee must be submitted with credit application. <br />Type of Corporation: ❑ Public ❑ Private Owned State of Incorporation: _ <br />Financial Statements Available? ❑ Yes ❑ No <br />ZIP Code <br />ZIP Code <br />Principle: <br />Name Title SS$ Home Address <br />Principle: <br />Name Title SS# Home Address <br />Trade References: (Minimum 3 name suppliers of major products and services) <br />Name Contact Phone <br />Name <br />Contact <br />Account <br />Phone Account <br />Name Contact Phone <br />1 <br />August 30, 2013 Page 49 of 51 <br />Account <br />o <br />6111 <br />