Credit Report Release Consent Form
I hereby authorize the release of my credit report to the parties listed below for the purpose of evaluating my creditworthiness in connection with:
Purpose:
Full Name:
Address:
City:
State:
ZIP:
Date of Birth:
Social Security Number (SSN):
Release To (Name/Firm):
I acknowledge that this authorization is made voluntarily and that a copy of this consent form may be accepted as an original.
Signature:
Date: