By submitting this form by email I hereby grant authority to Home Equity Link to obtain a standard factual data credit report through a credit reporting agency chosen by Home Equity Link.

By checking the signature radial button so that Signature=on herein below I hereby authorize the release to the credit reporting agency of a copy of my credit application and I authorize 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 credit reporting agency to use an email copy or a photostatic reproduction of this email authorization if necessary to obtain any information regarding the above mentioned information.

I hereby request a copy of the credit report obtained with any possible derogatory information be sent to my present residence address and hold Home Equity Link and any credit reporting agency harmless in so mailing the copy requested.

Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy, email copy, or facsimile transmission) is considered an original.


Signature:   When checked, this means I have
          authorized Signature=on.
Full Name:
Date of Birth:
Social Security Number:
Present Residence Address:
State(US Only):
Zip/Postal Code:

Home Equity Link, an equal housing lender, is licensed by the California Department of Real Estate, License No. 01182747. You can telephone the California Department of Real Estate by dialing 1-916-227-0931