CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to Premier Mortgage Consultants, to obtain a consumer credit report through a credit reporting agency chosen by Premier Mortgage Consultants. I understand and agree that Premier Mortgage Consultants intends to use the consumer credit report for the purposes of evaluating my financial readiness to obtain a loan.

I understand that this credit report will be retained on file at the Premier Mortgage Consultants office for use only by Premier Mortgage Consultants staff. This information will not be disclosed to anyone by Premier Mortgage Consultants without my written consent.

Furthermore, I understand that, should I choose to apply for financing through Premier Mortgage Consultants, a revised credit report costing an additional fee may be required.

My signature below authorizes the release to the credit reporting agency of financial information which I have supplied to Premier Mortgage Consultants in connection with such an evaluation. Authorization is further granted to the credit reporting agency to use photostatic reproduction of this form if required to obtain any information necessary to complete my consumer credit report.

CHECKING THE BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR Premier Mortgage Consultants TO OBTAIN A COPY OF YOUR CREDIT REPORT.