Sent
Jan 5, 2026 8:20 PM GMT
(3 months ago)
From
[email protected] (Ashley Sewell)
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Finalized
User has finalized their signature
Sign Request Finalized Jan 6, 2026 3:52 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.#_____________
LENAHAN LAND CLEARING & GRINDING INC.
P.O. BOX 762
SOUTHBURY CT 06488
203-426-2909
30
CT
26-1806650
MEREDITH ROLAND
EMAILED
203-426-2909
KURT LENAHAN
105 TRANSYLVANIA ROAD
ROXBURY, CT
042-76-2781
WEBSTER
SOUTBURY,CT
S