Credit Reference printable pdf download

Credit Reference

CREDIT REFERENCE

(Credit Company to complete and sign)

Client:

Name(s): _______________________________ / _______________________________

Address: ____________________________________

City/town: _______________________

Province: _______

Credit Information:

Credit term: From D____M____Y____ To D____M____Y___

Total Credit amount: $ __________________________

Average Monthly Payments $ _______________________

Payment History: Good / Average / Poor

Method of Payment: Direct Debit / Cheque / Cash / other

Comments: _____________________________________________________________

_______________________________________________________________________

Credit Company Information:

_______________________________

___________________________________

Credit Company Name

Representative Name

(Company Stamp)

_______________________________

___________________________________

Address

City/Prov.

_______________________________

___________________________________

Representative Signature

Date

Credit Reference