Flagstar Bank Third-Party Authorization Form
[Pages:1]Flagstar Bank Third-Party Authorization Form
Please use this form to authorize someone other than yourself to access your Flagstar Bank mortgage information.
Fax this completed page and any additional documents to (888) 848-1071 (Do not attach a cover
letter.)
Or
Mail this completed page only to:
Flagstar Bank
Attention ? Research Department
Mail Stop S-115-3
5151 Corporate Drive
Troy, MI 48098-2639
Section 1 Please PRINT (for multiple loans use separate forms) Loan Number:
Section 2 PRINT in CAPITAL LETTERS the Legal Name of Borrower
First
Middle
Last
Social Security Number of Borrower:
Daytime Telephone Number: (
)
ext.
Section 3 PRINT in CAPITAL LETTERS the Name of Authorized Person
First
Middle
Last
Select a PIN for the Authorized Person:
Daytime Telephone Number: (
)
ext.
Section 4
I authorize the person named above to access my account information, as long as he or she provides the PIN that I have assigned. If at any time I choose to remove the person named from accessing my account information, it is my responsibility to notify Flagstar Bank by calling Customer Service at (800) 968-7700.
Signature
Date: MM/DD/YYYY
................
................
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