DIY Legal Forms

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Request For Credit History


(Trade References


Re: (Account Name)

BE IT KNOWN, the above has applied to us for credit and has listed you as a credit reference. Please be kind enough to provide us the benefit of your credit experience with the account by furnishing the following information:

Highest credit balance

Lowest credit balance


Credit furnished to account since

Current balance

Credit limit

Payment history

Use the reverse side to note other credit comments. This information shall be held strictly confidential. We are always pleased to reciprocate.


[Your Name]

[Your Title]

[Your Telephone Number]