CREDIT REPORT AUTHORIZATION FORM

Authorization is hereby granted to Ainsworth Financial Mortgage Corporation, to obtain a consumer credit report through a credit reporting agency chosen by Ainsworth Financial Mortgage Corporation. I understand and agree that Ainsworth Financial Mortgage Corporation intends to use the consumer credit report for the purposes of evaluating my financial readiness to obtain a loan.

I understand that this credit report will be retained on file at the Ainsworth Financial Mortgage Corporation office for use only by Ainsworth Financial Mortgage Corporation staff. This information will not be disclosed to anyone by Ainsworth Financial Mortgage Corporation without my written consent.

Furthermore, I understand that, should I choose to apply for financing through Ainsworth Financial Mortgage Corporation, a revised credit report costing an additional fee may be required.

My signature below authorizes the release to the credit reporting agency of financial information which I have supplied to Ainsworth Financial Mortgage Corporation in connection with such an evaluation. Authorization is further granted to the credit reporting agency to use photostatic reproduction of this form if required to obtain any information necessary to complete my consumer credit report.

CHECKING THE BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR Ainsworth Financial Mortgage Corporation TO OBTAIN A COPY OF YOUR CREDIT REPORT.