MSA Mortgage  
David Kay
5 Fremont St
Winthrop, MA 02152
Phone: (617) 335-8380
Email: dkay@msamortgage.com
Fax Number:(781) 245-2331

APPLICATION PROGRESS BAR
» Borrower Information « Loan Information Finances Declarations Confirm
  Credit Authorization Agreement  

CREDIT REPORT AUTHORIZATION FORM

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

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

I agree:

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