9 Lawn Avenue - Suite 200
Norristown, PA 19403
(800) 829-1779 - Fax (610) 630-8460

Personal Credit Profile Authorization Form

Please print this page, complete the form, sign and mail to Central Property Search, Inc. for processing. Authorization signature of each applicant must be provided in order to release his or her credit profile. The cost for an individuals credit profile is $27 or $30 for a married couple. Please include your payment with this authorization form. All reports will be returned to the below listed address. Thank you!

NAME OF APPLICANT:

NAME OF SPOUSE:

ADDRESS OF APPLICANT(S):

CITY/STATE/ZIP:

SSN OF APPLICANT:

SSN OF SPOUSE:

BIRTH DATE OF APPLICANT:

BIRTH DATE OF SPOUSE:

Your signature(s) authorizes Central Property Search, Inc. to release your credit profile.

Signature of Applicant: ____________________________________ Date: ________________

Signature of Spouse: ______________________________________ Date: ________________