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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