$100,001 to $250,000 $50,001 to $100,000 $25,001 to $50,000 $10,001 to $25,000 $5,001 to $10,000 up to $5,000 Total ____________ Total of debtor balances outstanding as at ____ ____ _____ is ___________________ Current and not 1-30 days 31-60 days 61-90 days more than 90 yet due overdue overdue overdue days Details of debtors more than 60 days overdue overdue over 60 overdue over 90 Buyer name Country Total Debt days days Please specify which ICC Incoterms you observe for overseas trade ______________ On what basis are a credit limit and payment terms established (a) Audited/management accounts Y/N (b) Status Reports Y/N (c) Bank Report Y/N (d) Report of visit to buyer’s premises Y/N (e) other (please specify) _______________________________________ How often is this information updated? _____________________________________ How often and when is a credit limit reviewed? ______________________________ Are any special terms granted to individual buyers that differ from your standard terms? Y/N Please give details ______________________________________________________ Is your receivables ledger manual or computerised? ___________________________
$100,001 to $250,000 $50,001 to $100,000 $25,001 to $50,000 $10,001 to $25,000 $5,001 to $10,000 up to $5,000 Total ____________ Total of debtor balances outstanding as at ____ ____ _____ is ___________________ Current and not yet due 1-30 days overdue 31-60 days overdue 61-90 days overdue more than 90 days Details of debtors more than 60 days overdue Buyer name Country Total Debt overdue over 60 days overdue over 90 days Please specify which ICC Incoterms you observe for overseas trade ______________ On what basis are a credit limit and payment terms established (a) Audited/management accounts Y/N (b) Status Reports Y/N (c) Bank Report Y/N (d) Report of visit to buyer’s premises Y/N (e) other (please specify) _______________________________________ How often is this information updated? _____________________________________ How often and when is a credit limit reviewed? ______________________________ Are any special terms granted to individual buyers that differ from your standard terms? Y/N Please give details ______________________________________________________ Is your receivables ledger manual or computerised? ___________________________
International_Trade_Credit_Insurance_Proposal_Form_Eng.docx