Fill and Sign the Authorization Release Credit Form

Authorization to Release Credit Information From: ________________________________ (Name of Company Offering Credit) ________________________________________ (Street address, city, state, zip code) To: _______________________________ (Name of Credit Applicant) ________________________________________ (Street address, city, state, zip code) Date _______________ Dear _______________________ (Name of Credit Applicant) : Thank you for your recent interest in establishing credit with our _________________________ (Name of Company) . Please sign the authorization to release information agreement below and complete the enclosed form. Then send them to us with your most recent financial statements. We will contact your credit and bank references. Then we will contact you regarding your credit terms with our company. Thank you. __________________________ (Printed Name of Credit Manager) __________________________ (Signature of Credit Manager) Credit Manager --------------------------------------------------------------------------------------------------------------------- We have recently applied for credit with ______________________ (Name of Company) . We have been requested to provide information for their use in reviewing our creditworthiness. Therefore, I authorize the investigation of me and my Firm, _______________________ (Name of Firm) , and its related credit information. The release in any manner of all information by you is authorized whether such information is of record or not. I do hereby release all persons, agencies, firms, companies, etc. from any damages resulting from providing such information. This authorization is valid for 30 days from the date of my signature below. Please keep a copy of my release request for your files. Thank you for your cooperation. Signature _________________________________ Date ____________________