3191 Coral Way Suite 1003, Miami, Fl 33145
Tel: 1305-517-3595 Fax: 888-390-6106 Toll: 800-792-0922
CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM
I hereby authorize and instruct AG COMMERCIAL CAPITAL LLC, to obtain and review my credit report.
My credit report will be obtained from a credit reporting agency chosen by AG COMMERCIAL CAPITAL
LLC. I understand and agree that AG COMMERCIAL CAPITAL LLC, intend to use the credit report for
the purpose of evaluating my financial readiness to obtain a commercial loan.
In addition, in connection with determining my ability to obtain a commercial loan, I authorize AG
COMMERCIAL CAPITAL LLC, to share with other potential lenders my credit report and any information
that I have provided, including any computations and assessments that have been produced based upon such
PATRIOT ACT DISCLOSURE
To help the government fight the funding of terrorism and money laundering activities, Federal law requires
all financial institutions to obtain, verify, and record information that identifies each person who opens an
account. What this means for you: As part of applying for your commercial loan, we will ask for your
name, address, date of birth, and other information that will allow us to identify you. We will also need a
copy of the driver’s license or other identifying documents from any and all borrowers and guarantors.
We will need a separate authorization from each guarantor.
D.O. B. _______________________________
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