REQUEST FOR BANK CREDIT REFERENCE Date: To: Re: The above captioned client suggested we contact you for a banking reference. We would appreciate the following information: 1. How long has the account had a banking relationship with you? 2. What is the average account balance? 3. Does the account routinely overdraft? 4. Is the account a borrowing or non-borrowing account? 5. If the account borrows, please advise as to: Present balance on secured loans $_________ Present balance on unsecured loans $_________ Terms of repayment: Is repayment satisfactory? 6. Is the banking relationship generally satisfactory? Other comments or information would be greatly appreciated and shall be held in the strictest confidence. ________________________________ Page 1