CREDIT HISTORY SUMMARY FORM
Company Name: _______________________________________________________________________ Company Address: _____________________________________________________________________ Contact Name: _________________________________________________________________________ Phone Number: ________________________________ Fax Number: ____________________________
In addition to the following information, please provide the most recent annual report and SEC 10-K.
Bank Information
Bank Name: ___________________________________________________________________________ Bank Address: _________________________________________________________________________ Contact Name: _________________________________________________________________________ Account Number: ____________________________ Phone Number: ____________________________ Bank Name: ___________________________________________________________________________ Bank Address: _________________________________________________________________________ Contact Name: _________________________________________________________________________ Account Number: ____________________________ Phone Number: ____________________________
Trade References
(public utilities with which you have conducted business)
Utility Name: __________________________________________________________________________ Utility Address: ________________________________________________________________________ Contact Name: _________________________________________________________________________ Account Number: _____________________________ Phone Number: ___________________________ Utility Name: __________________________________________________________________________ Utility Address: ________________________________________________________________________ Contact Name: _________________________________________________________________________ Account Number: _____________________________ Phone Number: ___________________________
Credit Ratings
Standard & Poor’s: Long-Term Debt __________________
Commercial Paper _________________
Duns Number: ____________________
Moody’s: Long Term Debt ____________________ Commercial Paper ___________________ Duns Rating: ________________________
Have you or a predecessor company declared bankruptcy in the last 5 years? ______ I authorize the above listed entities to release data requested by The Toledo Edison Company, The Cleveland Electric Illuminating Company, Ohio Edison Company, Pennsylvania Power Company, Pennsylvania Electric Company, Metropolitan Edison Company, or Jersey Central Power & Light Company necessary to perform a credit check in connection with a request for service. __________________________
Signature of Officer
____________________
Title
_____________
Date
__________________________ (Printed Name)
Please send completed form to: FirstEnergy Service Company Supervisor, Supplier Services 76 S. Main Street Akron, OH 44308 OR Fax: (330)315-8664
rev. 10/4/07