10940 Wheeler Drive

Kelseyville , CA 95451

(415) 777-8600

Authorization Agreement

CREDIT REPORT AUTHORIZATION FORM

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

Furthermore, I understand that, should I choose to apply for financing through Loss Mitigations LLC, 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 Loss Mitigations LLC 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 Loss Mitigations LLC TO OBTAIN A COPY OF YOUR CREDIT REPORT.