AUTHORIZATION TO RELEASE LOAN INFORMATION

[Pages:1]AUTHORIZATION TO RELEASE LOAN INFORMATION

Authorization dated this ____ day of _______, 20_____ Borrower(s): __________________________________________________________________ Lender: _______________________________________

_______________________________________ Loan No.: ______________________________________ Property: _______________________________________

I/We the undersigned hereby authorize you to release to _____________________________________ and _____________________________________ or its agents and assigns any and all information that they may require about my loan and mortgage/trust deed on the above referenced property. This authorization is a continuation authorization for said persons to receive information about my loan, including duplicates of any notices sent to me regarding my loan, an assumption package and payoff statement. You may reproduce this document to acquire reference from more than one source.

" Agents" shall include all real estate brokers and their salespersons or assistants, title or escrow companies and their employees and attorneys and their employees.

________________________________ Borrower

DOB:___________________________ SSN: ___________________________

________________________________ Borrower

DOB:___________________________ SSN: ___________________________

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