éééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééé ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù Authorization is hereby granted to _________________________________________________________ to obtain a standard ù ù ù ù ù ù factual data credit report through a credit reporting agency chosen by ____________________________________________ . ù ù ù ù ù ù ù ù ù ù My signature below authorizes the release to the credit reporting agency a copy of my credit application, and authorizes the ù ù ù ù ù ù credit reporting agency to obtain information regarding my employment, savings accounts, and outstanding credit accounts ù ù ù ù ù ù (mortgages, auto loans, personal loans, charge cards, credit unions, etc). Authorization is further granted to the reporting ù ù ù ù ù ù agency to use a photostatic reproduction of this authorization if necessary to obtain any information regarding the above ù ù ù ù ù ù mentioned information. ù ù ù ù ù ù ù ù ù ù Applicants hereby request a copy of the credit report obtained with any possible derogatory information be sent to the ù ù ù ù ù ù address of present residence, and holds _________________________________________________________ and any credit ù ù ù ù ù ù reporting organization harmless in so mailing the copy requested. ù ù ù ù ù ù ù ù ù ù Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) ù ù ù ù ù ù is considered an original. ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù àààààààààààààààààààààààà ààààààààà àààààààààààààààààààààààà ààààààààà ù ù ù ù Borrower's Signature Date Borrower's Signature Date ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù àààààààààààààààààààààààà ààààààààà àààààààààààààààààààààààà ààààààààà ù ù ù ù Borrower's Signature Date Borrower's Signature Date ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù ù éééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééééé
INGRAM COMPANY
CREDIT REPORT AUTHORIZATION AND RELEASE
GENESIS 2000, INC. * W17.0 * (800) 882-0504
Form CRAR (03/95)