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AXIS INVESTIGATIONS
PO Box 941821, Simi Valley, CA 93094
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AUTHORIZATION TO RELEASE CREDIT INFORMATION

TO: Credit Reporting Agency and/or Creditor
RE:
My Credit Report

I hereby authorize release to Axis Investigations and/or its assigns, credit information contained in your file(s) relating to me. 

I understand the record(s) provided will be furnished in confidence and I agree to
hold the reporting agency and/or creditor harmless as a condition for providing the record(s).

A copy of this Authorization shall be valid as though it were the original and shall remain in effect for a period of thirty (30) days from the date entered below.

Date:_______________________ 


Signed:_______________________________________________________

Print Name:____________________________________________________

My Social Security Number is:______________________________________

I Reside At:____________________________________________________
                                   street address

___________________________     __________________         _________
                    city                                                        state                                 zip  

                       

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Serving Insurance Companies, Business, Law Firms and the Public Since 2005 
Axis Investigations * P.O. Box 941821 * Simi Valley * CA * 93094                                                                                            California P.I. License #24835             Copyright 2012 Axis Investigations