NuMAX
Mortgage Corporation
150 North Street Suite 41 -- Pittsfield, MA 01201
 Phone 877-349-3328 -- Fax 413-442-3268
 
 
 
 
 
AUTHORIZATION TO RELEASE INFORMATION

I / We hearby authorize and instruct any person or consumer reporting agency to release any and all information that may be required for the purpose of a credit transaction.  The current information is requested for the use in connection with a bona fide "permissible purpose" as defined in Section 54 of Public Law 91-508. A photocopy of this authorization shall be equivalent of the original and may be used as such.
 
 

_____________________________      ____________
Applicant                                                 S.S. #

____________________________________________
Address

_____________________________      ____________
Signiture                                                   Date
 
 

_____________________________      ____________
Co-Applicant                                           S.S. #

____________________________________________
Address

_____________________________      ____________
Signiture                                                   Date