CREDIT REPORT RELEASE

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					                             CREDIT REPORT RELEASE


I hereby authorize any employee or authorized representative of Fidelifacts bearing this
release, or copy thereof, to obtain any information in your files pertaining to any records
including, but not limited to, credit records.

I hereby direct you to release such information upon request of the bearer. This release is
executed with full knowledge and understanding that the information is for the official
use of Fidelifacts. I hereby release you, as the custodian of such records, credit bureau
or consumer reporting agency, including its officers, employees, or related personnel,
both individually and collectively, from any and all liability for damages of whatever
kind, which may at any time result to me, my heirs, family or associates because of
compliance with this authorization and request to release information, or any attempt to
comply with it. Should there be any questions as to the validity of this release, you may
contact me as indicated below.


                                      ___             ____________________________
Signature                                             Date

               ______________________________________                    _____________
Print Name

_____________________________                         ____________________________
Social Security Number                                Date of Birth

______________________________________________________________________
Address                                                     Zip Code


(     ) __________________________
Telephone Number



Fidelifacts, Inc.
11098 Biscayne Boulevard
Suite 207
Miami, Florida 33161
(305) 892-0925 (o)
(305) 892-6385 (f)

				
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