Credit Report Authorization Form

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Credit Report Authorization Form

AUTHORIZATION TO PULL PERSONAL CREDIT REPORTS.

The undersigned hereby consent(s) to WASHER SPECIALTIES use of non-business consumer credit reports on the undersigned in order to further evaluate the credit worthiness of the undersigned as principal, proprietor, and/or

guarantor in connection with the extension of business credit as completed by this credit application. The undersigned hereby authorize(s) WASHER SPECIALTIES to utilize a consumer credit report on the undersigned from time to time

in connection with the extention or continuation of the business credit represented by this credit application. The undersigned indiviual(s) hereby knowingly consent to the use of such credit reports consistent with the Federal

Fair Credit Reporting Act as contained in U.S.C. @ 1681 et seq.


If you agree to the conditions above please check the box.

Please enter your Name. Full Name *

Social Security # *

please type in todays date mm/dd/yy. Today's Date (mm/dd/yy) *

Company Name

Company Address

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