K N Wattenberg Transmission LLC
First Revised Volume No. 1
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Effective Date: 05/22/1998, Docket: RP98-192-000, Status: Effective
Original Sheet No. 122 Original Sheet No. 122 : Effective
TRANSPORTATION SERVICES CREDIT APPLICATION
K N WATTENBERG TRANSMISSION LIMITED LIABILITY CO.
Post Office Box 281304
Lakewood, CO. 80228-8304
Customer Name and Address: __________________________________
_____________________________________________________________
Type of business: __Corporation __Partnership __Individual
__Other __Specify__________________
State incorporated in:____________ Tax ID Number:__________
Number of years in business under current name:_______________
Has the customer changed its name in the last 5 years?
__ Yes __ No
If yes, furnish prior name & address: _______________________
______________________________________________________________
List the three principal owners, stockholders, partners, or
officers of the customer:
Name ___________ Name ____________ Name _____________
Title ___________ Title ____________ Title _____________
Address ___________ Address ____________ Address ____________
___________ ____________ ____________
Phone ___________ Phone ____________ Phone ____________
If a wholly owned subsidiary, name and address of parent:
______________________________________________________________
Is Parent company responsible for subs debts? Yes No
If yes, please furnish documentation.
Billing Address ____________________________________________
Contact Person________________________ Phone ______________
Amount of Credit Requested: $__________ Net Worth: $_________