Guarantor Authorization to Obtain Consumer Credit Report & Conduct a Credit Inquiry (Company)

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OMB APPROVED NO. 0648-0012

Expires 10/31/2026

Guarantor Authorization to Obtain Consumer Credit Report and Conduct
a Credit Inquiry

I authorize the National Marine Fisheries Service, Fisheries Finance Program (FFP) to obtain a
credit report and conduct a credit investigation on
(Guarantor). The FFP will use this information to evaluate my offer to guarantee debt for
(Applicant).
This authorization is valid for purposes of verifying information given pursuant to any lawful
purpose covered by the Fair Credit Reporting Act.
Upon request, the FFP will provide me with the name and address of the Reporting Agency
contacted to supply the report. I understand that credit inquiries have the potential to impact
credit scores.

Signature: ____________________________________

Authorized Signer Name:
Tax Identification Number:
Date of Formation:
Mailing Address:
Previous Mailing Addresses (last seven years):

Phone Number:
Mobile Number:
Email Address:
Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding this burden estimate or any other suggestions for reducing this burden to Brian Summers, Financial Services
Division, NOAA Fisheries, 1315 East West Highway, Silver Spring, MD 20910. Confidential name and address information will be
released via a NOAA website for informational purposes. All other data submitted will be handled as confidential material in accordance with
NOAA Administrative Order 216-100, Protection of Confidential Fishery Statistics. Notwithstanding any other provisions of the law, no person
is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of information subject to the
requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number