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SAMPLE CREDIT QUESTIONNAIRE


(This form was created to be used by interview personal and not as a hand out to customers.)

Creditability and Reputation Reference_________________________________

How long have you worked with Reference?___________________________

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______________________________________________

Length of time at this address?______________________ Age______________

Single or married__________________________

Occcupation______________ Employer's Name____________________

Employment steady?_______ Monthly Income (estimate)$_________

Past Address(if they moved in last 2 years)______________________________________________

Remarks______________________________________________________

Signed_______________________ Date________________________

 


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