OneMain 1270 Northland Dr, Suite 200 ... - OneMain Financial
OneMain
1270 Northland Dr, Suite 200
Mendota Heights, MN 55120
800.323.8375
Authorization to Release Information
Customer Name(s): _________________________________________
Address:
____________________________________________
____________________________________________
I hereby authorize OneMain to obtain the following information:
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Employment and Income Verification
Proof of Insurance/Add Loss Payee
Loan Payoff/Payment History
Mortgage/Rent Reference
I understand that I may see the information that is to be sent, and that I may
revoke the authorization at any time by written, dated communication.
I have read and understand the nature of this authorization.
___________________________________
Customer Signature
_________________
Date
___________________________________
Customer Signature
_________________
Date
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