AUTHORIZATION
TO
OBTAIN
CONSUMER
CREDIT
REPORT
I
authorize
to obtain a consumer credit report on me.
will
use the
consumer
credit report to confirm my residency address and determine whether my income is eligible to support a loan
modification. Upon my
r
e
q
u
es
t
,
will
p
r
o
v
i
d
e
me
w
i
t
h
the name and address of the Consumer
R
e
po
r
t
i
n
g
Agency contacted to
s
upp
l
y
t
h
e
report.
I
understand that credit inquiries have the potential to impact
my
credit
score.
Signature
Date
Printed
name
Social Security
number
Signature
Date
Printed
name
Social Security
number
Signature
Date
Printed
name
Social Security
number
click to sign
signature
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click to sign
signature
click to edit
click to sign
signature
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