To whom it may concern,

 

 

I                       hereby authorize

to  obtain a copy of my credit report for permissible reasons of:

I understand that my credit as well as current and prior employment may also be verified.  I authorize the agent of                     to obtain and/or verify that information.

 

 

___________________________          ___________________________

Signature                            Date

___________________________          ___________________________

Print Name:                          Social Sec No:

 

ADDRESS:

CITY:                                 STATE:          ZIP: