Client form - print or save as PDF

Authorization to Obtain Consumer Credit Information

Complete, sign, and return by email. Used only when a credit report is needed for your assessment or engagement.
How to use this form: print it or save it as a PDF (your browser's Print → Save as PDF), fill in and sign, and email it to brad@ashrybenconsulting.com. Electronic signatures are accepted. You can revoke this authorization at any time by email.

I,   (print name), residing at  , authorize Ash Ryben Consulting Inc. ("ARC") and/or a lender, broker, or credit-reporting reseller designated by ARC and identified to me, to obtain one or more consumer credit reports and credit scores about me from one or more consumer reporting agencies (Equifax, Experian, TransUnion).

Purpose

The report(s) will be used solely to evaluate my financial position and the credit-dependent strategies in my Financial Assessment or related engagement with ARC, which I have requested. I understand this is a business purpose I have initiated.

Type of inquiry

☐ Soft inquiry only (does not affect my credit score).   ☐ Hard inquiry, where required by a lender to process an application I have asked to submit.

My understanding

Identification (used only to match the correct file)

Date of birth 
Last four digits of Social Security numberXXX-XX- 
Previous address, if at current address less than 2 years 

Do not email your full Social Security number. If a reseller or lender needs it, they will collect it through their own secure portal.

Signature
Printed name
Date