VA Renegotiation Center

AUTHORIZATION AND RELEASE FOR MORTGAGE PAYMENT HISTORY

Authorization is hereby granted to Renegotiation Center to obtain a mortgage payment history through a credit, reporting agency chosen by Renegotiation Center.

By submitting this form, I authorize the release to the credit reporting agency a copy of my credit, application, and authorizes the credit reporting agency to obtain information regarding my past and present employment earnings records, savings account, and outstanding credit accounts (mortgages, auto loans, personal loans, charge cards, credit union, etc). Authorization is further granted to the reporting agency to use a photo static reproduction of this authorization if necessary' to obtain any information regarding the above-mentioned information. Applicants hereby request a copy of the credit report obtained with any possible derogatory information be sent to the address of present residence, and holds Renegotiation Center and my credit reporting organization harmless in so mailing the copy requested. Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) is considered an original.

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Loan Officer working with:

Borrowers Information

Borrower Full Name* (required):

Address* (required):

City* (required):

State* (required):

Zip* (required):

Phone Number* (required):

Email Address* (required):

Social Security Number* (required):

Date of Birth

Co-Borrower's Information

Co-Borrower Full Name:

Address:

City:

State:

Zip:

Phone Number:

Email Address:

Social Security Number:

Date of Birth

OPT- OUT FOR CREDIT MONITORING: This document serves as an opt-out credit monitoring disclosure for consumers in the process of closing on a mortgage loan with Renegotiation Center. Due to the prevalence of trigger leads in the current market, and consumers’ concern regarding unsolicited calls and offers, we are providing you with the option to opt out of receiving prescreened firm offers of credit and insurance under the Fair Credit Reporting Act.
It is crucial to understand that credit triggers often lead to unsolicited communication from various entities seeking to extend credit or other offers. These communications can be intrusive and unwanted, contributing to consumer privacy concerns. By opting out, you can mitigate the risk of your personal information being used for marketing purposes without your consent. This opt out request specifically targets the sharing of your credit information by credit bureaus for the purpose of generating trigger leads.
According to the Fair Credit reporting Act, consumers may elect to have various personal information excluded from any list provided by a consumer reporting agency under subsection ©(10(B) in connection with a credit or insurance transaction that is not initiated by the consumer, by notifying the agency that the consumer does not consent to any use of a consumer report relating to the consumer in connection with any credit or insurance transaction that has not been initiated by the consumer. A consumer may do so by notifying the consumer reporting agency of their election to do so.
By signing this document, you acknowledge that you are under no such obligation to do so. The decision to sign this document rests solely with you. No external entity, individual or authority, including Renegotiation Center , ca exert any form of pressure, coercion, or influence to compel you into signing against your will. You retain the exclusive discretion to determine whether to sign this document, free from any external interference or manipulation. I, the undersigned, am in the process of applying or losing on a mortgage loan and hereby certify the following:
I understand that by signing this document, I am choosing to opt out of the credit bureau sharing my information and receiving prescreened firm offers of credit and insurance under the Fair Credit Reporting Act for future credit transactions. I hereby direct Renegotiation Center to proceed in performing this opt-out process electronically on my behalf.

December 21, 2024