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18 I I I I I I I I I I I I I I I I I I I Bank of America ~ ~.~ ~ ACCOUNT VALIDATION BUSINESS CREDIT INQUIRY REQUEST FORM This form should be used to obtain a credit inquiry on a Bank of America business customer who has applied for credit with your company. · For same day service, fax your request to 1-900-733-2467. (Requests must be received prior to 3:00 p.m. -Local time, (A $10.00 fee will be charged to your phone bill.) · For a 3-business day service, fax your request to 1-415-343-9301. (There is no fee charged for this selilice,) Name of Business Business COl1tact Name Business Phone Number Business Fax Number Vendor/Re uestor Information (Please rint) Bank of America Customer's Information (Please print) Customer's Legal Name Parent Company's Name (if applicable) Customer's Address Customer's Tax 10 Number Account # ! smter Account # ~ State j o Establish new credit in the amount of $ Reason for Inquiry o Updating existing credit in the amount of $ ..If you are requesting infonnation on a consumer ::lccount you will also need to submit the customer's signed and dated authorization allowing Bank of America to release information to your company. Bank of America will prOVide account information, including but not limited to, opening date and average balance. Bank of America shall be held harmless from and against any claim or loss suffered or incurred as a result of the release or use of rnform::ltion herein requested 0001 :F009140:0609 PBS&I ... Reliahility, Resources, Relalionships PHSI.