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Example of a Credit Reference Request

CREDIT REFERENCE REQUEST

Date: _____________

To:

Regarding:  ______________________________________________________________

The above referenced company has applied for credit and has listed your company as a credit reference. Any information received from you will be kept confidential. To assist us in making our credit decision, please provide the requested information below:

High credit limit:

Present balance:

Manner of payment / average days late:

Payment terms:

Date account opened:

Type of security you hold:

Comments about this customer:

Thank you,

______________________
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