Credit Request

Print, Complete, and Mail or Fax To: Ocala Breeders' Sales Co., Inc., P.O. Box 99, Ocala, Florida 34478, or Fax: 352-237-3566
Name:
Street Address:
City : State: Zip:

Telephone:
Social Security # Tax ID #

Farm / Stable Name:
Street Address:
City : State: Zip:
Telephone:

Name Of Bank

Address

Telephone

Bank officer to be contacted

Account #

Amount of Credit Requested


Additional Information

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By signing this credit request the applicant authorizes Ocala Breeders' Sales Co., Inc. to perform a credit investigation.

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(Signature Required)

Please inform your bank that the Ocala Breeders' Sales Company will be contacting them about your request for credit.