HOOC CREDIT AUTHORIZATION AND PRIVACY DISCLOSURE FORM

HOOC CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM

I hereby authorize and instruct HomeOwnershipOC to obtain and review my credit report. My credit report will be obtained from a credit reporting agency chosen by HomeOwnershipOC. I understand and agree that HomeOwnershipOC intends to use the credit report for the purpose of evaluating my financial readiness to purchase a home and/or to engage in post purchase counseling activities. My signature below also authorizes the release to credit reporting agencies of financial or other information that I have supplied to HomeOwnershipOC in connection with such evaluation. Authorization is further granted to the credit reporting agency to use a copy of this form to obtain any information the credit reporting agency deems necessary to complete my credit report. Direct fee from credit reporting agency will be charged to the client, fees vary.**

In addition, in connection with determining my ability to obtain a loan, I

authorize do not authorize

HomeOwnershipOCto share with potential mortgage lenders and/or counseling agencies my credit report and any information that I have provided, including any computations and assessments that have been produced based upon such information. These lenders may contact me to discuss loans for which I may be eligible, and these counseling agencies may contact me to discuss counseling services.

I understand that I may revoke my consent to these disclosures by notifying HomeOwnershipOCin writing.

Client’s Legal Name:

Client’s Social Security #:

Clients Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Clients Signature:

Clear

Date:

Date

Co-Client’s Legal Name:

CoClient’s Social Security #:

CoClients Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

CoClients Signature:

Clear

Date:

Date

** HomeOwnershipOC does not deny service if you are unable to pay and in cases of financial hardship, fees may be reduced or eliminated. A Fee Waiver application with proof of income may be requested prior to reducing or eliminating fees. Please see Fee Waiver Request Form.

HomeOwnershipOC www.HomeOwnershipOC.org

714.204.2314 23771 Formello, LH, CA 92653