Business Credit Application

Please read the following information before completing this application (“Application”).

By signing below, you (the “Customer” or “Company”) acknowledge and certify that: (i) all of the information below is complete and accurate and you authorize the Program Operator. (“KAPED” or “we”) to check with credit reporting agencies, credit references, and other sources we deem appropriate in investigating the information given; (ii) you agree that the terms of use of the account and/or card(s) will be governed by the KAPED Terms and Conditions(the “Terms”) attached hereto and incorporated by reference (the “Terms” and “Application” collectively, the “Agreement”); (iii) the person signing below is either a proprietor, general partner, or officer of the Company with authority to enter into the Agreement; (iv) you will provide financial statements for the last two (2) years if requested; and (v) KAPED may review the personal credit of the undersigned if this Application is for a partnership or a proprietorship to make a credit decision and a consumer report of the undersigned may be obtained. Direct inquiries of employers and businesses where the undersigned maintains accounts may also be made; and in the event you do not meet your obligations under the Agreement, KAPED may report your liability for and the status of the account to credit bureaus and others who may lawfully receive such information.

Company understands that KAPED may require a guarantee, letter of credit, surety bond, or other acceptable form of security in order for Company to receive credit. Company also understands that credit on this account, once approved, will be extended by KAPED and there is no binding contract until KAPED approves Company’s Application for credit and the Agreement is executed.

Part I - General Customer Information

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.

Subject to the terms of the Agreement, and acceptance by KAPED of your Application, KAPED will arrange for establishment of an account using a virtual card web-based solution that allows Company to request single use card numbers. Please select the desired solution(s) below (all subject to availability and underwriting and final approval by KAPED).  

Payment: Company will remit all funds (in full) due to KAPED by Debit ACH. “Debit ACH” means a debit initiated by Trak Technologies Incorporated against an account designated by Company

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.

ISSUER COMPLIES WITH FEDERAL LAW
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 for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Note: For purposes of this application, a non-public entity is one that does not have its stock listed on the New York, American, or NASDAQ stock exchanges. The Customer must include ownership information for at least 75% of all ownership interests and any individual or legal person with 25% or more ownership interest. KAPED may also ask to see a copy of a driver’s license or other identifying document for each beneficial owner, or the control person listed on this form. If owner is a business entity, do not complete Driver’s License Number, Date of Issuance, or Date of Birth. If a listed owner is an entity, KAPED may need to obtain additional information to identify the ultimate, individual beneficial owners.

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.

Don't have general liability? Click Here

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.

You must immediately notify KAPED of any change to the information in your application and/or Customer profile, including (i) any new lines or types of business; (ii) change in ownership; (iii) the opening, closing or liquidation of business or any location;(iv) voluntary or involuntary party to a bankruptcy case; and/or (v) entry into a loan or other agreement with a person or entity that seeks to affect this Agreement. We retain the right to terminate this Agreement if you fail to provide notice of any change to the information in your application and/or Customer profile.  Customer hereby represents and warrants to KAPED that: (i) the signatory below is duly authorized to execute this Agreement on behalf of the Company and (ii) the information in this Application is complete and accurate and may be relied upon by KAPED.

Customer hereby agrees to be bound by all terms and conditions contained in the Agreement and any attachments, exhibits or schedules, as amended from time to time, including the Terms incorporated herein. By signing below, Company acknowledges that it has read, understands, and agrees to be bound by the terms of the Agreement.

Thank you! Your business credit application has been received! We will be in touch with next steps.
Oops! Something went wrong while submitting the form.