CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to Next Gear Mortgage Company, to obtain a consumer credit report through a credit reporting agency chosen by Next Gear Mortgage Company. I understand and agree that Next Gear Mortgage Company intends to use the consumer credit report for the purposes of evaluating my financial readiness to obtain a loan.

I understand that this credit report will be retained on file at the Next Gear Mortgage Company office for use only by Next Gear Mortgage Company staff. This information will not be disclosed to anyone by Next Gear Mortgage Company without my written consent.

Furthermore, I understand that, should I choose to apply for financing through Next Gear Mortgage Company, a revised credit report costing an additional fee may be required.

My signature below authorizes the release to the credit reporting agency of financial information which I have supplied to Next Gear Mortgage Company in connection with such an evaluation. Authorization is further granted to the credit reporting agency to use photostatic reproduction of this form if required to obtain any information necessary to complete my consumer credit report.

CHECKING THE BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR Next Gear Mortgage Company TO OBTAIN A COPY OF YOUR CREDIT REPORT.