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CREDIT REFERENCE REQUEST

Date:

To:[name & address of credit reference]

Re:[name of person seeking a credit reference]

Dear Madam/Sir:

The above referenced person has applied for credit with our company and has listed you as a credit reference. To assist us in making our credit decision, please provide us with the below requested information:

High credit limit:

Present balance:

Payment history:

Number of payments more than 30 days late:

Length of time account open:

Other information that we should consider:

Any information received from you will be held confidential. Enclosed for your convenience is a stamped return envelope.

Sincerely,

______________________
[title]

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For Up-To-Date Forms Covering Just About Every State & Situation plus Summaries of
Relevant Laws We STRONGLY SUGGEST Checking Out
'LLL's 25,000+ Premium Forms - Every Subject, Every State
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