CREDIT REPORT REQUEST FORM

REALTOR NAME:___________________ TELEPHONE:___________________________

BUYER'S NAME:___________________________________________________________

ADDRESS:________________________________________________________________
(If less than 2 years at current address put previous address)

TELEPHONE:______________________________________________________________

CURRENT JOB:____________________________________________________________

YEARS AT CURRENT JOB:____________ SOCIAL SECURITY:_____________________

DATE OF BIRTH:____________________________________________________________

DO YOU ALREADY OWN A HOME?___________________________________________