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Request For Credit History

To:

(Trade References

Date:

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

Terms

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.

Cordially,

_____________________

Landlord Signature