Credit Report Pull Authorization

Housing counseling provided by a HUD‑certified housing counselor through Help Community Services, Inc. Organizational HUD approval is pending / in progress.

Step 1

Step 2

Before completing Step 2, please ensure Step 1 has been completed.
The information provided in this step is also required to process your submission and pull your credit report.

Applicant Information

Full Name

Date of Birth

Social Security Number

Current Address

City

State

ZIP

Time at Address

Employer

Job Title

Time at Employer

Gross Monthly Income

Other Monthly Income

Phone Number

I want to add a co-applicant (spouse/partner)

Full Name

Date of Birth

Social Security Number

Current Address

City

State

ZIP

Time at Address

Employer

Job Title

Time at Employer

Gross Monthly Income

Other Monthly Income

Phone Number

I/We Agree to the Credit Pull Authorization & electronic signature

By checking the box below and providing my/our information:

I/we authorize the lender selected by Help Community Services, Inc. to obtain my/our consumer credit report(s) and related information from one or more credit reporting agencies for the purpose of evaluating eligibility for mortgage pre‑approval and related housing counseling services.

I/We affirm that the information provided is true and accurate. This authorization will remain in effect for 60 days from the date of submission or until revoked in writing.

I/We understand that I/We may request a copy of this authorization at any time.

Applicant E-Signature

Date

Co-applicant E-Signature

Date (if-co-applicant)