Fillable BORROWER SIGNATURE AUTHORIZATION FORM

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BORROWER SIGNATURE AUTHORIZATION FORM

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BORROWER SIGNATURE AUTHORIZATION FORM
To whom it may concern:
I hereby authorize RCN Capital, LLC to conduct: (1) a consumer credit report and verify other credit
information, including past and present mortgage and landlord references; and (2) a background
investigation report and verify both criminal and civil records. It is understood that a copy of this form
will also serve as authorization by me allowing RCN Capital to conduct these checks.
The information RCN Capital obtains is only to be used in conjunction with my inquiry into the
commercial mortgage I am considering. This authorization expires 30 days from the date below.
Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in
determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed
outside the agency except as required and permied by law. You do not have to provide this
information, but if you do not your application for approval as a prospective mortgagor or borrower
may be delayed or rejected.
___________________________________ ___________ ___________________________________
First Name (of loan applicant) Middle Last Name
___________________________________ ________________________
Date of Birth Social Security Number
___________________________________ _____________________________ _____ ____________
Current Address City State Zip Code
___________________________________ _____________________________ _____ ____________
Previous Address City State Zip Code
___________________________________ ________________________
Signature Date
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BORROWER SIGNATURE AUTHORIZATION FORM

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Completed 29 June 2021

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