By signing below, each undersigned individual(s), who is either a principle of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Lessor or its designee (and any assignee or potential assignee thereof) authorizing review of his of her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update renewal or extension of such credit and for reviewing or collecting the resulting account. A photocopy or facsimile of this authorization shall be as valid as the original.
In addition to authorizing review of My/Our credit profile from any national credit bureau the undersigned also authorizes My/Our financial institutions and creditors to release credit information required by Lessor or its designee (and any assignee or potential assignee thereof).
Credit Applicant: _____________________________________ Lessor: _____________________________________ Name (Please Print): ______________________________ Date: _______________ Signature: X_____________________________ Title: _______________ Social Security Number: ______________________________
Name (Please Print): ______________________________ Date: _______________ Signature: X_____________________________ Title: _______________ Social Security Number: ______________________________
Name (Please Print): ______________________________ Date: _______________ Signature: X_____________________________ Title: _______________ Social Security Number: ______________________________
Name (Please Print): ______________________________ Date: _______________ Signature: X_____________________________ Title: _______________ Social Security Number: ______________________________ After printing this form, fill-in the necessary information and fax to
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