Name: Emmonak Corporation
Address: 49 Old Airport Way, Emmonak, AK, 99581, US
Telephone: +1-907-949-1129

Privacy notice

This form asks for sensitive personal information, including the business EIN and bank reference details. It is sent over a secure, encrypted connection to accounting@emmonak.com for processing this request. If you would prefer not to enter this information online, download the PDF version and mail the signed original to Emmonak Corporation, P.O. Box 49, Emmonak, AK 99581.

1 · Entity information

Legal entity name

DBA (if any)

Year formed

State of formation

EIN (Federal Tax ID)🔒 SENSITIVE

2 · Addresses & billing

3 · Authorized officer

4 · Financial snapshot

5 · Credit you are requesting

What will the account primarily be used for?

6 · Trade references (three required)

7 · Bank reference

8 · Personal guaranty

Are you willing to provide a personal guaranty?

Yes — a principal owner or officer is willing to personally guaranty

No — entity credit only

9 · Acknowledgements

The entity consents to a finance charge of 2.0% per month (24.0% APR) on past-due balances, pursuant to Alaska Stat. 45.45.010.

The entity grants Emmonak Corporation a purchase-money security interest in goods purchased on credit under Alaska Stat. 45.29 (UCC Article 9).

I represent and warrant that I am authorized to bind the entity to this application and the resulting commercial credit agreement.

Business Credit Application (Net 30)