CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to Prime One Home Loans, to obtain a consumer credit report through a credit reporting agency chosen by Prime One Home Loans. I understand and agree that Prime One Home Loans 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 Prime One Home Loans office for use only by Prime One Home Loans staff. This information will not be disclosed to anyone by Prime One Home Loans without my written consent.

Furthermore, I understand that, should I choose to apply for financing through Prime One Home Loans, 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 Prime One Home Loans 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 Prime One Home Loans TO OBTAIN A COPY OF YOUR CREDIT REPORT.