Business Account Application Form This form is exclusively for business use only. If you would like to apply for a new credit account with Property Health Check Ltd. please submit your details as requested below. Credit accounts can only be considered for businesses that have been trading for a minimum of two years. Business InformationRegistered Business Name(Required) Does the business use a different trading name?NoYesBusiness Trading Name(Required) Business type(Required)Choose an optionPrivate Limited Company (LTD)Designated Activity Company (DAC)Company Limited by Guarantee (CLG)Owners Management Company (OMC)Public Limited Company (PLC)Unlimited Company (ULC)Sole TraderGeneral PartnershipLimited PartnershipHolding CompanyOtherBusiness Registration Date(Required) Other business type Please provide details of your business typeBusiness Address(Required) Street Address Address Line 2 Town/City County Eire Code Business Registration Number(Required)Tax Reference Number(Required) Tax Clearance Certificate Number (TCAN)(Required) Applicant InformationYour Name(Required) First Last What is your position in the business?(Required) Your Email(Required) Enter Email Confirm Email Your Contact Number(Required)NotesIs there anything else you would like to tell us? Credit Assessment and Decision Process The information provided in this form will be used to obtain a business credit report from Stubbs Gazette. The decision to offer a credit account and determine the applicable credit limit will be based solely on the results of this credit report. Consent(Required)I give consent for the provided information to be used in obtaining a business credit report to assess our eligibility for a credit account. I agree to consent. To complete and submit this form please choose an option in the business type section.
