Sent
Mar 10, 2026 1:50 PM GMT
(a month ago)
From
To
Finalized
User has finalized their signature
Sign Request Finalized Mar 12, 2026 4:15 PM
DeFeo Materials Inc
860-300-2067
100 Bank Street, Suite 205. Seymour CT 06483
Email Application to [email protected]
CREDIT APPLICATION
COMPANY BACKGROUND
Name: ___________________________________________________________
Address_______________________________________ Corp.______ Trust__________
City/State/Zip____________________________________________________
Tel. #__________________________ Fax#______________________
Year Inc.__________ State___________ SS#/FIN_______________________________
Billing Instructions:
Billing Email___________________________________ Person of Contact_______________________
Billing Phone Number_________________________ Paper or Mailed Invoice? ___________________
PRINCIPALS
Name________________________________ Name_________________________________________
Home Address_________________________ Home Address__________________________________
City/State/Zip__________________________ City/State/Zip___________________________________
SS#______________________ SS#_________________________
BANK REFERENCES
Name_________________________ Address___________________________________
Tel.#________________________ Contact_________________ Acct.#_____________
Four Seasons Nursery
961 S Military Hwy
Virginia Beach, VA 23464
(757) 420-4182
1972
VA
54-1514330
Jacquelynn Cook
Email
(757) 647-1371
R. Wayne Reeves
303 Atlantic Ave Apt. 1100
Virginia Beach, VA 23451
228-86-6000
Towne Bank
1312 Greenbrier Pkwy
(757) 548-7202
Tricia Randall
2465807099
X