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Alternative Mortgage Funding Corporation

222 S. Westmonte Drive, Suite 116 Altamonte Springs, Florida 32714 Telephone (407) 774-9009 Fax (407) 788-6455

Authorization for Credit Or Background Inquiry


I authorize Alternative Mortgage Funding Corporation to obtain information regarding my employment
and credit history. In connection with a legitimate business transaction or business relationship, I also understand that public record information may be requested or made on me including criminal and civil records. Further, I understand that information may be requested from various Federal, State, Local and other agencies that contain my past activities. I hereby authorize any party or agency contacted by the issuer of this authorization/release to furnish the above-mentioned information, and hold such party or agency harmless for furnishing true and correct information. A fax or photocopy of this document bearing my signature carries the same authority as the original. I have the right to make a request of Alternative Mortgage Funding Corporation, upon proper identification and the payment of any authorized fees (if any), for the information in its files on me at the time of my request. I further authorize ongoing procurement of the above-mentioned reports at any time during the course of my employment or business relationship with Alternative Mortgage Funding Corporation. Signature: Printed Name: _________________________________________________________ _________________________________________________________

Former Name (if any): _________________________________________________________ Street Address: City, State, Zip: Date of Birth: _________________________________________________________ _________________________________________________________ _________________________________________________________

Social Security Number: _________________________________________________________

Docname: Authorization For Credit Or Background Inquiry Revised 12/21/01

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