Contemporary Letter

Credit Authorization

“ Authorization is hereby given for the release of any and all information concerning bank accounts, employment, credit or mortgage verifications, as requested by Cherry Creek Mortgage Company with my (our) application for a mortgage loan. The information is requested in connection with a ‘permissible purpose’ as defined in section 604 of Public Law 91-508.”

Please Print Above Each Label

Cherry Creek
Mortgage Company
945 Lakeview Parkway
Suite 170
Vernon Hills, IL 60061
888-773-2771
847-970-4200
E-Mail

Please Complete and Fax or E-mail.

____________________________________________		____________________________________________
Full Legal Name (First, Middle Initial, Last)		Full Legal Name (First, Middle Initial, Last)
____________________________________________		____________________________________________
Social Security Number		Social Security Number
____________________________________________		____________________________________________
Birth date (Month/Date/Year)		Birth date (Month/Date/Year)
____________________________________________		____________________________________________
Current Address		Current Address
____________________________________________		____________________________________________
City, State, Zip Code		City, State, Zip Code
____________________________________________		____________________________________________
E-mail address		E-mail address
____________________________________________		____________________________________________
Home Phone		Home Phone
____________________________________________		____________________________________________
Work Phone		Work Phone
____________________________________________		____________________________________________
Cell Phone		Cell Phone

Signature X___________________________________________		Signature X___________________________________________
Date:________________________________________		Date:________________________________________