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Authorization to Release Credit Information

This form requests release of credit information from credit reporting agencies. The form provided here is simply a sample of what the actual form looks like.

AUTHORIZATION TO RELEASE CREDIT INFORMATION

Date:________________________________

To:__________________________________

Please be advised I have a credit account with your firm and hereby request that a report of my credit history with you be forwarded to the below listed credit reporting agencies. You may consider this letter as my authorization to release this information. Thank you for your cooperation.

_____________________________________
Signature

_____________________________________
Social Security Number

_____________________________________
Address

_____________________________________


_____________________________________
Signature of Joint Applicant (if any)

_____________________________________
Name of Account

_____________________________________
Account Number


Credit Reporting Agencies/Company

_____________________________________
Agency/Company

_____________________________________
Address

_____________________________________
Attn:


_____________________________________
Agency/Company

_____________________________________
Address

_____________________________________
Attn:

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