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Bad Debt Write-off Worksheet (United States)

This form is a bad debt write-off worksheet. The form provided here is simply a sample of what the actual form looks like.

BAD DEBT WRITE-OFF WORKSHEET

Customer Name ____________________________

ID # ________________

Address _____________________________________________________________

Total Balance Due ___________________________

Date of Last Purchase ________________________

Date of Last Payment _________________________

Comments ___________________________________________________________

___________________________________________________________

___________________________________________________________

Write-off Requested by ___________________________

Date: ______________


Approval Signatures:

Credit Manager ____________________________

Date ________________________________

Controller ________________________________

Date ________________________________

Sales Manager ____________________________

Date ________________________________

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