Credit Information Release Authorization

To Whom It May Concern:

The undersigned individual(s) or firm has applied for a business loan, or equipment lease, and hereby authorizes you to release any and all credit information, which may be required to process the undersign’s loan requests, including, but not limited to, the following:

• Status and history of depository information, including checking and savings account balances.

• Real estate loan and or mortgage information including current balance monthly payment amounts and payment history.

• Current balances terms and payment history for personal loans, consumer credit and or trade accounts.

You all are expressly authorized to complete any verification forms to which this executed authorization or a facsimile thereof is attached. This authorization or facsimile shall have the same force and effect as though the undersigned has executed such verification request form.

A copy or facsimile of this form (being a facsimile or copy of the signature) shall have the same force and effect as the original.

Thank you for your assistance.

Applicant-Firm Name: _

Signature: _ Date: _

Social Security #

(Print or Type Name)

Home Address City State Zip

Telephone: Fax Number:

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