AUTHORIZATION TO RELEASE CREDIT INFORMATION Date: To: Account #: ____________________________________ ____________________________________ ____________________________________
As a holder of the above referenced credit account with your firm, I (we) hereby authorize and request that a report detailing my (our) credit history with your firm be forwarded to the following companies and/or credit reporting agencies listed at the bottom of this page. Please be advised, this letter serves as my (our) authorization for the release of my (our) credit history information with your firm. Thank you for your cooperation in this matter. __________________________________ Signature __________________________________ Social Security Number __________________________________ Address, Line 1 __________________________________ Address, Line 2 _________________________________ Signature of Joint Applicant (if any) _________________________________ Social Security Number _________________________________ Address, Line 1 _________________________________ Address, Line 2
Credit Reporting Agencies/Companies: __________________________________ Agency/Company __________________________________ ATTN __________________________________ Address, Line 1 __________________________________ Address, Line 2 __________________________________ Agency/Company __________________________________ ATTN _________________________________ Agency/Company _________________________________ ATTN _________________________________ Address, Line 1 _________________________________ Address, Line 2 _________________________________ Agency/Company __________________________________ ATTN