Authorization is hereby granted to ______First Lenders Mortgage_________ to obtain a standard

factual data credit report through a credit reporting agency chosen by ______First Lenders Mortgage______  .

My signature below authorizes the release to the credit reporting agency a copy of my credit application, and

authorizes the credit reporting agency to obtain information regarding my employment, savings accounts, and

outstanding credit accounts (mortgages, auto loans, personal loans, charge cards, credit unions, etc).

Authorization is further granted to the reporting agency to use a photostatic reproduction of this authorization

if necessary to obtain any information regarding the above mentioned information.

Applicants hereby request a copy of the credit report obtained with any possible derogatory information be

sent to the address of present residence, and holds ______First Lenders Mortgage_________ and any credit

reporting organization harmless in so mailing the copy requested.

Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) is considered an original.        SIGN AND FAX TO: 732-957-9666 

Borrower's Signature              Date                                                       Borrower's Signature              Date

SSN:                                                                                                       SSN:                                                    

SSN:                                                                                                     SSN: