John Reynolds


The John Reynolds Group Ltd
Stamford House, Northenden Road
Sale, Manchester M33 2DH
Tel: 0161 905 5500
Fax: 0161 905 5510

CREDIT RISK QUESTIONNAIRE


Get Acrobat Reader

Please complete and submit for a no-obligation quote

Note:
All figures quoted on this form are to exclude VAT.
Alternatively, please state if the figures include VAT.

Company:
Your name:
Position:
Telephone:
Fax:
Email:
Address:


Postcode:
Business Description:
Estimated Turnover on Credit Terms (next 12 months)
Domestic:
Export:
(please attach a list of export markets and respective turnover)
Debtor balance at last:
March:
June:
Sept:
Dec:

Past Analysis:
  Current Year Last Year Previous Year Previous Year
Turnover
Total Bad Debts
Largest
How Many
Name of Largest

Please list any special features to your trade - e.g. long term contracts, work in progress, consignment stock etc.


Debtor Analysis as at:   - - (dd-mm-yyyy)

Exposure Amount Outstanding Number of Debtors
Under 1,000
1,001 - 2,500
2,501 - 5,000
5,001 - 10,000
10,001 -25,000
25,001 -50,000
50,001 - 100,000
100,001 - 250,000
250,001 - 500,000
500,001 - 1,000,000
Over 1,000,000

Normal payment terms given to debtors:
Maximum payment terms given to debtors:

Which of the following do you utilise in setting credit limits:
Bank Reports Yes  No Level
Trade Reference Yes  No Level
Reports and Accounts Yes  No Level
Status Reports Yes  No Level

Which Status Agencies do you use?   
How often is the information updated?   

Who is responsible for approving and increasing credit limits?
Position:  
Name:
Level:
Position:  
Name:
Level:

Who is responsible for cancelling and reducing credit limits?
Position:  
Name:
Level:
Position:  
Name:
Level:

Overdue accounts procedure: How many days past due date would you:
Make a telephone call?
Take recovery / collection action?
Send a letter?
Take legal action?
Stop further supplies?

Current credit insurance arrangements:
Renewal date:
Insurance company:
Broker:
Type of policy:

Please provide details of your largest debtors (UK and/or Export):
Full Trading name and registration number/address Credit limit Current balance

Please detail any seriously overdue accounts which are giving you cause for concern:
Name of debtor Amount
outstanding
Action taken

Please outline any additional information which you feel may support your application for credit insurance: