CONSUMER CREDIT
  INQUIRY RELEASE

  Authorization for H&H Services, Inc., to Conduct a Credit Inquiry

By my signature below, I hereby give consent to H&H Services, inc.to obtain credit report on me. I understand that the requested consumer credit information is being obtained for the following specific permissible purposes and for no other purpose

_______a. In connection with a credit transaction involving the extension of the credit, or review of credit, or collection of an account, or
___X____ b. For employment purposes, or
_______ c. In connection with the underwriting of insurance, or
_______ d. To use the information in connection with a determination of eligibility for a license or other benefit granted by a government instrumentality required by law to consider an applicant’s financial responsibility or status, or
_______ e. In connection with a legitimate business need.

(It is recognized and understood that the Fair Credit Reporting Act provides that anyone “who knowingly and willfully obtains information on a consumer from a consumer reporting agency under false pretenses shall be fined not more than $5,000 or imprisoned not more than one year, or both”.)

Signature_____________________________Date_____________________

Print Full Legal Name____________________________________________

Business Name       H&H Services, Inc.

SSN:_______________________Date of Birth________________________

Address_______________________________________________________

City________________________State_______________Zip_____________

Phone_____________________________