Sent
Mar 16, 2026 4:38 PM GMT
(19 days ago)
From
[email protected] (Christopher DeFeo)
To
Finalized
User has finalized their signature
Sign Request Finalized Mar 17, 2026 9:51 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.#_____________
Tophs All Around Construction
15 Old Church rd
Oxford CT 06478
203-889-1622
2007
CT
51-063656
Chris
Chris Deangelis
15 Old Church rd
Oxford CT