Credit Report
Authorization
I
hereby authorize Tax USA Inc. and Tax USA Business Brokers to obtain a credit report on
me. I understand this information will be used in qualifying me for a
possible business purchase.
Full Name:
_______________________________________________
Street:
__________________________________________________
City, State, Zip:
___________________________________________
Social Security Number:
_____________________________________
Date of Birth:
_____________________________________________
Signature:
________________________________________________
Date:
____________________________________________________
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