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Credit Review Form

Mail this completed form, along with the required attachments to the contact person listed at the bottom.

Company Information:
Company Name:   ______________________________________
Address Line 1:   ______________________________________
Address Line 2:   ______________________________________
Phone Number:   ______________________________________

Contact Person for Credit Information:
Name:   ______________________________________
Phone Number:   ______________________________________
Fax:   ______________________________________

Parent or Guarantor Company Information:
(if applicable)
Company Name:   ______________________________________
Address Line 1:   ______________________________________
Address Line 2:   ______________________________________
Phone Number:   ______________________________________

Additional Information
  • Please attach your company's latest audited financial statement.
  • If your company is a subsidiary and it does not have an audited financial statement, please attach the latest audited financial statement for your parent company or guarantor company. NOTE: When selling power to a subsidiary company that does not have its own financial statement, NPPD requires a written guarantee from the parent company or guarantor company. Please contact the person below for the guarantee form. Please contact the person below for the appropriate forms.
  • As an alternative to the above, NPPD will accept Surety Bonds, Letters of Credit, Deposits, etc. Please contact the person below for the appropriate forms.
  • NPPD policy requires all credit instruments be governed by and construed in accordance with the laws of Nebraska.

Contact Person: Douglas M. Blatchford
Finance and Risk Management Department
Nebraska Public Power District
P.O. Box 499, Columbus, NE 68602-0499
Telephone: (402) 563-5571
Fax: (402) 563-5528
E-mail: dmblatc@nppd.com

Revised: 11/3/98