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DoormanRequest for Bank Credit Reference

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or fill in details below and Submit this form




RE: Credit Reference for ,

Account # .

The above-named company has filed a credit application with
our company naming your bank as a credit reference. By that
application, the credit applicant has authorised us to
contact the stated references and receive confidential
information from them regarding their credit history.
Attached please find a copy of the Credit Application naming
your bank as a reference and authorising our company to
receive credit information.

We would, therefore, appreciate if you could provide us with
the following information:

1. How long has the company had an account with your bank?
2. What has been the average daily account balance?
3. Is there a history of overdrafts on this account?
4. Does this company currently have any loans with your bank

(a) If so, what is the outstanding balance?
(b) Are they secured loans?
(c) What is the collateral?
(d) Has the repayment been satisfactory?

5. Has this customer been a satisfactory banking client?

We would appreciate any further information that you might be
able to provide that may enable us to evaluate the credit
history of this applicant. All information will be held in
strict confidence.

Thank you very much for your assistance.

Signature: ..................................................

Name of Signature

Phone Number (include Country code and area code):


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