Authorization and release to

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NameAuthorization and release to
A typeDocumentation


By signing below, the undersigned hereby authorizes ______________________________ to obtain “consumer reports” and/or “investigative consumer reports” about me from any consumer reporting agency and/or bureaus, including commercial credit agencies or bureaus, that creditor may chose to use and to consider such reports when making any credit decisions regarding my credit application, extension of credit, or with respect to any extension or modification of existing credit. I acknowledge that as an individual there are various Federal and/or State laws such as the “Fair Credit Reporting Act” that control the issuance or use of “consumer reports” and/or “investigative consumer reports” by creditor. I understand that I am not obligated to provide creditor this authorization to review such “consumer reports” and/or “investigative consumer reports”. However, I have voluntarily agreed that such reports can be released to creditor so that it will consider my credit application, extension of credit, or with respect to any extension or modification of existing credit.

The undersigned hereby authorizes _____________________________ to procure an investigation, or cause an investigation to be procured, for credit evaluation purposes, whether or not subject to the Fair Credit Reporting Act. I authorize, without reservation, any person or entity contacted by creditor or anyone acting on its behalf, to furnish information regarding verification of my social security number, education, military record, motor vehicle reports, credit history, financial account balance and history, professional licensures, public records, criminal record and/or employment references.

I hereby release creditor, including its employees, agents or representatives from any and all liability for furnishing such information. I also release creditor from any and all liability for conducting such an investigation. A photocopy, scan or facsimile copy of this Authorization and Release be treated as though it were the original.

Dated: __________________ Signature:__________________________

Any forms, templates or sample documents (collectively “Information”) made available by Business Credit Reports, Inc., (“BCR”) through this website are solely intended to provide its customers with helpful credit tools to manage your business. Users of the Information are advised to discuss the use of any such Information with your own legal counsel and management since their effectiveness/enforcement will vary by state . The Information is provided “As Is” without any representations or warranties of any kind. BCR expressly disclaims any representations and warranties, including without limitation, the implied warranties of merchantability and fitness for a particular purpose. BCR shall have no liability in connection with the use by its customers of the Information, including without limitation, any claimed loss or injury caused, in whole in part, by BCR’s actions or omissions, or any decision made or action taken in reliance by user on the Information furnished herein.

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