3rd Party Authorization Form

[Pages:1]USAA Federal Savings Bank P.O. Box 610788 Dallas, Texas 75261

Serviced by Nationstar Mortgage LLC, a subservicer for USAA

3rd Party Authorization Form

Please complete the information below, sign, and fax to 855-260-5034.

Today's Date: ________________________ Loan Number: ____________________________ Member(s) Name (Please Print): __________________________________________________________________________________

__________________________________________________________________________________ Property Address: ____________________________________________________

____________________________________________________ I/We authorize USAA Federal Savings Bank to provide the following information regarding the above-referenced loan to the Authorized Party listed below: ___ Access to discuss all information regarding my loan ___ Other (please specify) _________________________________________________________

This authorization is valid for the following: ___ Valid 12 months from the date above ___ Valid until revoked by the undersigned or when the loan is paid in full Name of Authorized Party(s) and Company Name (if applicable), address and telephone number? please print clearly: __________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

______________________________________________________________ ________________________________________________________

Member Signature

Member Signature

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