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