Request for Credit Interchange





Re: Account

The above account has recently applied to our firm for credit and listed you as a credit reference. Please provide us the following so that we may have adequate information on which to issue credit:

High Credit: $_____________________________

Low Credit: $_____________________________

Terms: __________________________________

How long sold: ___________________________

Present balance owed: $____________________

Payment history: __________________________

Any other credit information you believe helpful may be noted on the reverse side and

shall be held in confidence. We are always pleased to reciprocate.

A stamped return envelope is enclosed for your convenience.






These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.


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