CREDIT REPORT AUTHORIZATION AND RELEASE

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CREDIT REPORT AUTHORIZATION AND RELEASE Authorization is hereby granted to Masse International, Inc. or any Investor(s) it chooses to submit or assign, to obtain a standard factual data credit report through the credit reporting agencies. My signature below authorizes the release to the credit-reporting agency a copy of my credit application, and authorizes the credit-reporting agency to obtain information regarding my employment, savings accounts, and outstanding credit accounts (mortgages, auto loans, personal loans, charge cards, credit unions, etc). Authorization is further granted to the reporting agency to use a photocopy reproduction of this authorization if necessary to obtain any information regarding the above-mentioned information. Applicants hereby request a copy of the credit report obtained with any possible derogatory information be sent to the address of present residence, and holds Masse International Inc. or its Investor(s) and any credit reporting organization harmless in so mailing the copy requested. Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) is considered an original. _______________________________________ Borrower's Signature _______________ Date Printed Name: ______________________________ SS# _______-______-________ Address: __________________________________________________ City: ___________________________________ State: _________ ZIP: _________ _______________________________________ Co-Borrower's Signature _______________ Date Printed Name: ______________________________ SS# _______-______-________

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