CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to Full Circle Lending, to obtain a consumer credit report through a credit reporting agency chosen by Full Circle Lending. I understand and agree that Full Circle Lending 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 Full Circle Lending office for use only by Full Circle Lending staff. This information will not be disclosed to anyone by Full Circle Lending without my written consent.

Furthermore, I understand that, should I choose to apply for financing through Full Circle Lending, 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 Full Circle Lending 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 Full Circle Lending TO OBTAIN A COPY OF YOUR CREDIT REPORT.