Transcription of BORROWER’S AUTHORIZATION AND CONSENT TO VERIFY …
1 small business administration NATIONAL DISASTER LOAN RESOLUTION CENTER 200 W. SANTA ANA BOULEVARD STE. 180 SANTA ANA, CALIFORNIA 92701 BORROWER S AUTHORIZATION AND CONSENT TO VERIFY INFORMATION I hereby authorize the United States small business administration (SBA) to VERIFY my past and present employment earnings and records, bank accounts, stock holdings and any other asset balances that are needed by SBA in reference to SBA LOAN NUMBER _____. I further authorize SBA to order a consumer credit report and VERIFY other credit information, including past and present mortgage and landlord references, as needed in connection with the above SBA loan. It is acknowledged that an executed copy of this form will also serve as proper AUTHORIZATION and CONSENT .
2 The information obtained by SBA is to be used only in reference to the SBA loan number herein stated. _____ Borrower Name (Print) _____ _____ Borrower Signature Date
