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Text File  |  1993-08-01  |  802b  |  33 lines
  1.  
  2.  
  3.             AUTHORIZATION FOR RELEASE OF INFORMATION 
  4.  
  5. Name of applicant: ______________________
  6. Social security number: _________________
  7. Date of application: ____________________
  8.  
  9.  
  10.  
  11. TO: Employers, Credit References 
  12.  
  13. You are authorized to release information concerning my employment
  14. or credit history with you to ___________________________________.
  15.  
  16. You are further released from liability in connection with your
  17. response to this inquiry. 
  18.  
  19. A photocopy of this authorization will be as effective as an
  20. original. 
  21.  
  22.  
  23.  
  24. ___________________________________________ 
  25.  
  26.  
  27. ___________________________________ 
  28. Attention: ________________________
  29. ___________________________________
  30. ___________________________________
  31. Telephone: ________________________
  32.                            
  33.