Dealer Evaluation Form Format

Customer Credit Evaluation Form

In any organisation, companies have to allow credit sales to Dealer / Customers. Before allowing such credit limit any company should carefully analyse the creditworthiness, financial strength. Here you will find template for Dealers Evaluation Form.

Details of Dealer Appointment before setting Credit Limit

Dealer Appointment / Evaluation Report
Company Details:
Division:
Zone:
State:
Town:
Population:
Date:
Party Details
Name of Party:
Address:
Telephone No.:
Prop / Partnership / Pvt. Ltd.:
Name(s) of key person(s):
Owned fixed assets (approx. value):
Land(s)
Building(s)
Vehicle(s)
Others
Total fixed assets (approx. value)
Business Details
Dealership for other companies
No. of years experience in trade
Credit terms with current companies
Monthly Turnover (T.O.) of the firm (Rs. Lac)
No. of units
Office (details of space & owned / rented):
Godown (details of space & numbers of owned / rented):
Terms & Conditions agreed
Estimated T.O. per month:
Payment terms recommended (DD / Cheque):
Credit Terms:
Credit Limit (Rs.)
Transporter recommended:
Registration Fee (non-refundable) details
DD No.:
Amount:
Date:
Bank:
Payable at:
Confirmation of Creditworthiness from Bank
Bank name:
Bank address:
Account details
Account type (i.e. CC / Current / SB / other):
OD limit:
Dealing with Bank since (mm/yy):
Dealing with Bank (satisfactory / dissatisfactory):
Cheque bouncing history (average bouncings per month, if any):
Average transactions per week (number):
Average transactions per week (value):
Banker's stamp & Bank Manager's signature
(Only confined to confirmation of creditworthiness)
Party's stamp, name & signature
(All the above information is true to the best of my knowledge)