Home Credit Report
CREDIT REPORT AUTHORIZATION FORM
Applicant*:

Date of Birth*:

Social Sec#*:

Co-Applicant:

Co-Date of Birth:

Co-Social Sec#:

CREDIT CARD INFORMATION
Credit Card Type*:

Card Number*:

Expiration Date*:

3 Digit Security Code*:

Cardholder Name*:

Cost range for credit report services: $23 for single, $29 for joint report

By submitting this form you authorize,VA Loans , to obtain your credit report for the purpose of a home loan applcication and to submit your payment information for the cost of your credit report to Corelogic Credco, the credit provider for VA Loans .

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