Credit Report Pull Authorization
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security or ITIN Number
*
Birth Date
*
-
Month
-
Day
Year
Date
I authorize the Integrity Mortgage Team / American Pacific Mortgage to pull my credit report as a
*
soft inquiry, which will not affect my credit score negatively, and review my credit.
hard inquiry, which may affect my credit score negatively, and review my credit.
soft and/or hard inquiry as needed.
Other
*
I understand that any intentional or negligent representation(s) of the information contained on this form may result in civil liability and/or criminal liability under the provisions of Title 18, United States Code, Section 1001.
Signature
*
Date
*
/
Month
/
Day
Year
Date
Submit
Submit
Should be Empty: