Credit Approval Form[1]

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CREDIT APPROVAL FORM Recipient's Name: ___________________________ Recipient's Address: _________________________ __________________________________________ __________________________________________ Phone Number: ___________________ Contact Name: _______________ Bank References Credit References ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ Projected monthly income (Verified by Manager): ________________ Credit Terms: ________________ Credit Limit: __________________ Any Special Instructions _________________________________________________ _____________________________________________________________________ ____________________________________________________________________. Prepared by: ___________________________ (For credit department use only) Approval signatures: Credit Manager: ___________________ General Manager: __________________ Date: ________________ Date: ________________ Controller: ___________________ Date: ________________ Sales Manager: ____________________ Date: ________________

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