HOUSING | Authorization for Credit History Records NEW


      Empowering People.
Changing Lives.
    1535 W Broadway
Louisville, KY 40203
(502) 585-4622
    www.lul.org
information@lul.org

 

AUTHORIZATION FOR CREDIT HISTORY RECORDS OR OTHER RECORDS

 

To Whom It May Concern:

I hereby authorize a representative of the Louisville Urban League Center for Housing & Financial Empowerment (CHFE) department, to inspect and copy all records, including but not limited to, all credit bureau records or documents or reports or credit history records or reports in any form which are maintained by, in the custody of, or in the possession of any institute, organization, or individual.

A photostat copy hereof will be considered as fully as the original.

This is a notice to you as required by the Right to Financial Privacy Act of 1978 that (the Veterans Administration or Department of Housing and Urban Development, whichever is appropriate) has a right to access financial records held by financial institutions in connection with the consideration or administration of assistance to you. Financial records involving your transactions will be available to VA or HUD without further notice or authorization, but will not be disclosed or released to another government agency or department without my consent, except as required or permitted by law.

I authorize the Louisville Urban League to discuss ANY information related to my personal circumstances as it may be necessary to help secure my full legal rights in attempting to secure or improve my housing.

I authorize the Louisville Urban League to release credit, financial, employment, and other information to other agencies or firms as may be essential in the solution of my housing problems.

By signing this form, I/we certify that as a client of the Center for Housing & Financial Empowerment department, I/we obligated to use any services and/or products presented by the staff of the Louisville Urban League. I understand that I am free to make my own decisions based on the information provided to me. I/we understand that the CHFE program fee that I/we paid is non-refundable. If I choose not to participate in this program at any time, no money will be refunded.

 

 
Name of Applicant		  
Date
 
Name of Co-Applicant (optional)		  
Date
_________________________________________
Housing Counselor Signature		   _________________
Date

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