Credit Report Authorization Form
(Loan Origination Company Name),
to obtain a tri-merged consumer credit report through
I/We understand that
intends to use the credit report for
the purposes of confirming my/our residency address, verifying other credit information, including past
and present mortgages, and evaluating whether my/our income is eligible to support the mortgage loan
for which I/we have applied.
I/We understand that in conjunction with the tri-merged credit report that
may ask me/us to verify past and present employment earnings records, bank accounts, stockholdings,
and any other asset balances that are needed to process the mortgage loan application.
I/We understand that credit report obtained is to be used solely in the processing of the mortgage loan
application and that this information may only be shared other agencies that have a direct connection
with the processing of the mortgage loan application.
I/We understand that credit inquiries have the potential to impact my/our credit score.
It is understood understand that this tri-merged credit report will be retained on file by
along with all other loan application documents.
This authorization expires 120 days from the date indicated below.
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion,
national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the
applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the
Consumer Credit Protection Act. The Federal Agency that administers compliance with this law concerning this company is the Office of the Comptroller
of the Currency, Customer Assistance Group, 1301 McKinney Street, Suite 3710, Houston, Texas 77010
During the application interview on
, verbal authorization was given to
to obtain a tri-merged credit report.
requested a credit report on
Credit report #
was obtained on
By signing below, I/We acknowledge that
was authorized to obtain my/our tri-merged consumer credit report.