INFORMATION
DISCLOSURE AUTHORIZATION | | <<<<
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this form and fax or mail to the address below |
TO WHOM IT MAY CONCERN: I / We hereby authorize the release of information to
Allied Mortgage Banking, it's successors, and/or assigns, or any approved credit
reporting agency, for verification purposes, any information concerning: - Employment
History: dates, title, hours worked, salary & bonus
-
Banking and Savings accounts of record
- Mortgage
loan ratings and any information associated with my/our mortgage and payment of
record
- Any other information deemed necessary
in connection with a consumer credit report for a real estate transaction
This
information is for confidential use in compiling mortgage loan credit information
for Allied Mortgage Banking. A photographic or carbon copy of this authorization
(being a photographic or carbon of the signature(s) of the undersigned) may be
deemed to be the equivalent of the original and may be used as a duplicate original.
Your prompt reply will help expedite my real estate transaction. Thank you for
your cooperation. ____________________________________ Borrower's
Signature
____________________________________ Borrower's
Printed Full Name ____________________________________ Co-Borrower's
Signature
____________________________________ Co-Borrower's
Printed Full Name | ____________________________________ Borrower's
Social Security Number
____________________________________ Co-Borrower's
Social Security Number
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_________________________________________________________________
Borrower's Home Address
(Address, City, State, Zip Code) There
is an $18 fee to pull your credit report. Please make a check payable to Allied
Mortgage or provide your credit/debit card number below. All credit card information
will be destroyed immediately after processing. Credit
/ Debit Card # ________________________________________ Expiration
Date ____________________________________________
Trista
Hopkins, MBA Director's
Mortgage
4550
SW Kruse Way, Suite 275
Lake
Oswego, Oregon 97035 Phone (503) 709-1731
Fax (503) 296-2342 |