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CREDIT AUTHORIZATION

Please print this form, then fill it out completely and return it via fax or scan and email - this form does not transmit online because we feel the information is too senstive to transmit in that fashion even under secure means, and we simply don't want to be liable for it! Thanks for thinking of Pacific Southland!

PACIFIC SOUTHLAND PROPERTIES INFORMATION AUTHORIZATION

FAX BACK TO: 866-877-1378

TO WHOM IT MAY CONCERN:

I / We, the undersigned applicants are requesting a pre-qualification for a real estate loan. Authorization is hereby granted to Pacific Southland Properties, its subsidiaries and assignees to obtain information regarding my / our bank accounts, employment, and outstanding credit (i.e. mortgage, auto, home improvement loans, credit cards, etc, as may be found on a typical credit report). Any information obtained will be used for the purpose of the processing of the real estate loan application.

I / WE AGREE THAT A PHOTOCOPY OF THIS AUTHORIZATION CAN BE ACCEPTED WITH THE SAME AUTHORITY AS THE ORIGINAL.

____________________________________(print name) ______ - ____ - ______ (Soc. Sec. No.)

_______________________________________________________________(full address, buyer 1)

____________(date of birth) (________) _______ - ___________ (phone number, buyer 1)

____________________________________(signature, co-borrower) __________________(date)

_____________________________________(print name) ______ - ____ - ______ (Soc. Sec. No.)

___________________________________________________________(full address, co-borrower)

_____________(date of birth) (________) _______ - ___________ (phone number, co-borrower)