Credit Report Upgrade Order Form
REQUESTOR'S INFORMATION
Request Date LSC Account No. Credit Report Request ID No.
Requestor's Full Name
Company Name
Requestor's Phone Number
Requestor’s Fax Number
Check upgrade type:
One-Item Supplement
Merge Plus
Enhanced Merge Plus
RMCR
Non-Traditional
Supplement
BORROWER INFORMATION
Last Name Social Security Number First Name Address: Middle Name Suffix (Jr., Sr., II, III) Phone Number
CO-BORROWER INFORMATION
Last Name Social Security Number First Name Address: Middle Name Suffix (Jr., Sr., II, III) Phone Number
ACCOUNT INFORMATION
Account Name/Creditor Account # Research/Verification Type Add Dispute De-dupe Rate Verify
Other: ______________________ Account Name/Creditor Account # Research/Verification Type Add Dispute De-dupe Rate Verify
Other: ______________________ Account Name/Creditor Account # Research/Verification Type Add Dispute De-dupe Rate Verify
Other: ______________________
RENT OR EMPLOYMENT INFORMATION
Name/Company Contact Person Phone Number
Rent Terms
Rent Amount
Salary (monthly)
Rental Address
FAX COMPLETED FORM, ALONG WITH BORROWER’S AUTHORIZATION FORM, TO:
FOR INQUIRIES, CALL:
877-LS-CLOSE (572-5673)
800-475-9517