Credit Information Request
[COMPANY NAME]
Sunday, December 8, 2024
[To] Company Name
First, Last Name
Mailing Address
City, State 00000
RE: Credit Reference for [APPLICANT NAME]
Dear Sir/Madam:
Our company, [BUSINESS NAME], has received a request for credit terms from [APPLICANT NAME] whom has
provided you as a credit reference. Please answer the following questions to assist us in making a decision regarding
the application for credit.
______________ How long has [APPLICANT NAME] had an open account?
______________ Credit Limit
______________ Current Balance
______________ High Balance
______________ Number of Late Payment
Additional Comments:
Thank you for taking the time to answer the above questions. All information provided by you above will be held
confidential. Please return this form to [BUSINESS NAME] before [DATE] within the enclosed stamped envelope.
Sincerely,
___________________________
[NAME]
[TITLE]
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