CREDIT FINANCIAL SERVICES, INC./Lender To Lender

A Michigan Corporation, Phone: (810) 750-5577

AUTHORIZATION TO RELEASE INFORMATION

I/We hereby authorize you to release to Credit Financial Services, Inc. any and all information that they may require for the purpose of a credit transaction.

Thank You.

Date
Your Full Name
Co-Buyer's Full Name
Salesperson

EMPLOYMENT HISTORY

CURRENT EMPLOYER
Company:   Start Date:
Address:  
City:   State:   Phone:
PREVIOUS EMPLOYER
Company:   Start Date:
Address:   End Date:
City:   State:   Phone:
2nd PREVIOUS EMPLOYER
Company:   Start Date:
Address:   End Date:
City:   State:   Phone:
3rd PREVIOUS EMPLOYER
Company:   Start Date:
Address:   End Date:
City:   State:   Phone:
4th PREVIOUS EMPLOYER
Company:   Start Date:
Address:   End Date:
City:   State:   Phone:
NOTES: If any major gap exists in the Employment history above, please explain reason why below.

FIVE (5) YEAR RESIDENCE HISTORY

CURRENT RESIDENCE
From: To   Address:
City:   State:   Zip:
Landlord or Mortgage Company:
Phone Number:
PREVIOUS RESIDENCE
From: To   Address:
City:   State:   Zip:
Landlord or Mortgage Company:
Phone Number:
2nd PREVIOUS RESIDENCE
From: To   Address:
City:   State:   Zip:
Landlord or Mortgage Company:
Phone Number:
3rd PREVIOUS RESIDENCE
From: To   Address:
City:   State:   Zip:
Landlord or Mortgage Company:
Phone Number:
4th PREVIOUS RESIDENCE
From: To   Address:
City:   State:   Zip:
Landlord or Mortgage Company:
Phone Number:

REFERENCES

RELATIVES
Name:   Relationship:
Address:   Phone:
City:   State:   Zip:

Name:   Relationship:
Address:   Phone:
City:   State:   Zip:

Name:   Relationship:
Address:   Phone:
City:   State:   Zip:


PERSONAL REFERENCES
Name:   Yrs. Known:
Address:   Phone:
City:   State:   Zip:

Name:   Yrs. Known:
Address:   Phone:
City:   State:   Zip:

Name:   Yrs. Known:
Address:   Phone:
City:   State:   Zip:

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