Credit Check Release Form

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Credit Check Release Form
I authorize The Pennsylvania Community Development & Finance Corp. and it’s affiliates to obtain such
information as it may require concerning statements made in the application for an SBA 504 loan.
First Name _________________ Middle ______________ Last Name ___________________
Social Security # _______________________ Date of Birth ___________________________
Driver’s License # ______________________ State __________________________________
Current Address _______________________________________________________________
City _______________________________ State _____________ Zip ____________________
Previous Address ______________________________________________________________
City _______________________________ State _____________ Zip ____________________
Employer ____________________________________________________________________
Employer’s Address ____________________________________________________________
City _______________________________ State _____________ Zip ____________________
Signed __________________________
Date ____________________________


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