Credit Report Request Authorization And Privacy Disclosure CREDIT REPORT - PERMISSION Privacy Disclosure Permission Granted YESNO Do you have a Co-Borrower? YESNO BORROWER / CO-BORROWER Co-borrower's Name Borrower's Name Address City/State/Zipcode Time living in this Address Old Address - If less than two years PERSONAL INFORMATION Telephone Number Email Address Marital Status Date of Birth Social Security Number (SSN) INS Status ---U.S. CitizenU.S. ResidentWorking PermitU.S. VisaNon Legal Resident PAYMENT INFORMATION Name on the Credit Card Credit Card Number Card Type VisaMaster CardAMEXDiscovery Security Code Address on Card TERMS & CONDITION Ver Terminos y Condiciones es Español Terms and Conditions I hereby authorize and instruct LEN Financial Services, L.L.C. to obtain and review my credit report. My credit report will be obtained from a credit reporting agency chosen by LENFS. I understand and agree that LENFS intends to use the credit report for the purpose of evaluation my financial readiness to purchase a home. My signature below also authorizes the release to credit reporting agencies of financial or other information that I have supplied to LENFS in connection with such evaluation. I authorize to the credit reporting agency to use a copy of this form to obtain any information the credit reporting agency deems necessary to complete my credit report. In addition, in connection with determining my ability to obtain a loan. LEN Financial Services, L.L.C. to share with potential mortgage lenders and/or counseling agencies my credit report and any information that I have provided. Including any computations and assessments that have been produced based upon such information. These lenders may contact me to discuss loans for which I am eligible, and these counseling agencies may contact me to discuss counseling services I understand that I may revoke my consent to these disclosures by notifying LEN Financial Services, L.L.C in writing LEN Financial Services, L.L.C. to share with Real Estate Agents any information that i have provided, including any computations and assessments that have been produced based upon such information. These Real Estate Agents may contact me to discuss about properties available. I understand that I my revoke my consent to these disclosures by notifying LEN Financial Services, L.L.C in writing I authorize the LEN Financial Services to charge the cost of single Credit Report up to $16.49, for husband and wife plus up to $25.49. I also Authorized to give my/our information to an appraisal company for payment of an appraisal and or appraisal review fee if required. This fee will range from $485.00 to $550.00 for SFR, 2-4 units $680.00 to $850.00, such as re-inspection free; forms such as 216, 1004, 2004c, 1004D, 1007, 1073 FNM, 1075, 465 FRE, 2000, 2055, 2090, 92051, etc. in the range from $175.00 to $350.00. You will only be charged the actual fees requested by third parties. I authorized to charge my Credit Card or Debit Card with any remaining balance at any given time during or after the process of the transaction, for the concept of appraisal, appraisal inspection, Survey, Credit Report, what if simulator, Credit Supplements, account dispute removal, Credit boost or any other fees unpaid for the result of getting a home loan I Agree with Terms & Conditions Agree *Your information will never be shared with any third party.