CREDIT REPORT AUTHORIZATION FORM

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

Furthermore, I understand that, should I choose to apply for financing through Tony Ronan, Real Estate and Mortgage Broker, 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 Tony Ronan, Real Estate and Mortgage Broker 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 Tony Ronan, Real Estate and Mortgage Broker TO OBTAIN A COPY OF YOUR CREDIT REPORT.