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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 Signature of Joint Applicant (if any) ___________________________________ ___________________________________ Social Security Number Social Security Number ___________________________________ _____________________________________ Address, Line 1 Address, Line 1 ___________________________________ _____________________________________ Address, Line 2 Address, Line 2 Credit Reporting Agencies/Companies: ___________________________________ _____________________________________ Agency/Company Agency/Company ___________________________________ _____________________________________ ATTN ATTN ___________________________________ _____________________________________ Address, Line 1 Address, Line 1 ___________________________________ _____________________________________ Address, Line 2 Address, Line 2 ___________________________________ _____________________________________ Agency/Company Agency/Company ___________________________________ _____________________________________ ATTN ATTN ___________________________________ _____________________________________ Address, Line 1 Address, Line 1 ___________________________________ _____________________________________ Address, Line 2 Address, Line 2 Other Forms You May Need * Letter Requesting Authorization to Release Credit Information * Disputed Account Settlementclick to download Authorization To Release Credit Information template
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