Authorization to Release Information Forms

AUTHORIZATION TO RELEASE INFORMATION TO THIRD PARTY

I hereby authorize you to release any and all information rgarding my loan, including loan status, interest rate, payoff amount, amount of monthly payment, late charges, penalties, and fees (if applicable) to:
                                                                                                                                                                                                               

It is requested that this information be faxed immediately to                                                                                                                

Our call Direct Phone:                                                                         

Property Address:                                                                                                                                                                                 

                                                                                                                                                                                                              

Lender:                                                                          

Account or Loan #:                                                       

Lender Fax #:                                                                

Primary Borrower Name:                                             

Primary Borrower SSN:                                                

Primary Borrower Signature:                                        

Co-Borrower Name:                                                      

Co-Borrower SSN:                                                        

Co-Borrower Signature: