Credit Report Authorization And Release Form

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CREDIT REPORT AUTHORIZATION AND RELEASE
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Authorization is hereby granted to _________________________________________________________ to obtain a standard
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factual data credit report through a credit reporting agency chosen by ____________________________________________ .
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My signature below authorizes the release to the credit reporting agency a copy of my credit application, and authorizes the
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credit reporting agency to obtain information regarding my employment, savings accounts, and outstanding credit accounts
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(mortgages, auto loans, personal loans, charge cards, credit unions, etc). Authorization is further granted to the reporting
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agency to use a photostatic reproduction of this authorization if necessary to obtain any information regarding the above
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mentioned information.
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Applicants hereby request a copy of the credit report obtained with any possible derogatory information be sent to the
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address of present residence, and holds _________________________________________________________ and any credit
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reporting organization harmless in so mailing the copy requested.
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Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile)
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is considered an original.
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Borrower's Signature
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Borrower's Signature
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Borrower's Signature
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Borrower's Signature
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GENESIS 2000, INC. * V9.3/W11.0 * (818) 223-3260
Form CRAR (03/95)

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