Selective Lending "*" indicates required fields BORROWER’S BLANKET SIGNATURE AUTHORIZATION Under the DRE (Department of Real Estate) regulations, fees for credit reports are not considered advance fees. Any advance fee must use an agreement or contract approved by BREI Hereby Authorize Selective Lending To order a customer credit report and verify other credit information, including past or present mortgage references. Charges may apply for credit check and loan submission. It is understood that photocopy of this form will also serve as authentication. Please Note:(Unisource Credit will be the name that will appear on your bank / credit card statement for this charge). The information the lender obtains is only to be used in the processing of my mortgage loan application.Borrower Name:* Social Security Number:* Co-Borrower Name (Type N/A if No Co-Borrower):* Social Security Number (Type N/A if No Co-Borrower):* Credit Card Information: Per company policy, borrowers must pay for their 3-Bureau upfront. Credit card information below will be used to pull your credit. A copy of your credit report will be available upon your requestCard holder name :* Billing Address:* Phone Number:* Email Address:* Payment Method: Visa / MasterCard / Others (Specify):* Credit Card Number:* Expiration Date (MM/YY):* CVV2 (securityCode):* Should the loan fail to close, I understand that these fees are still my responsibility. Date* Borrower Signature*Co Borrower Signature