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Text File  |  1994-10-07  |  733b  |  32 lines

  1.  
  2. Dear
  3.  
  4. Enclosed is a photocopy of Mr. Smith's signed authorization
  5. for disclosure of credit information.  Would you be kind
  6. enough to supply the information requested below.  We have
  7. provided you with a copy of this request for your files.
  8. Please return the original in the enclosed, postage paid
  9. envelope.
  10.  
  11.      Name of Applicant:  __________________________________
  12.      Address:            __________________________________
  13.      City, State, Zip:   __________________________________
  14.  
  15.  
  16.      Length of time of Credit Account:
  17.  
  18.      Highest Credit Extended:
  19.  
  20.      Credit Limit:
  21.  
  22.      Average Monthly Balance:
  23.  
  24.      Balance Now Due:
  25.  
  26.      Balance Past Due:
  27.  
  28.      Normal Paying Habits:
  29.  
  30.      Remarks:
  31.  
  32.