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1984-07-19
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SAMPLE CREDIT QUESTIONNAIRE
Creditability and Reputation_________________________________
How long have you worked with him?___________________________
Highest credit on: Charge account___________________________
Highest credit on: Installment credit_______________________
Present amount owed: Due now________________________________
Present amount owed: Past due_______________________________
Meeting obligations promptly?________________________________
Present Address______________________________________________
Remarks______________________________________________________
Signed________________________ Date________________________
Length of time known?______________________ Age______________
Single or married__________________________
Character________________ Community Reputation_______________
Occcupation______________ Employer's Name____________________
Employment steady?_______ Monthly Income (estimate)$_________
Amount owed you: Due now$_______________ Past due$__________
Meeting obligations promptly?________________________________
Present Address______________________________________________
Remarks______________________________________________________
Signed_______________________ Date________________________