Wells Fargo Home Equity Line of Credit Restriction Authorization

Home equity line of credit restriction authorization

Please complete and return this form

Use this form if you have a home equity line of credit. If you do not have a Wells Fargo home equity line of credit or if you have a home equity line of credit that is already permanently restricted, you do not need to complete this form.

As a requirement of your loan modification request your home equity line of credit will be permanently restricted, which means you will no longer be able to access your account for additional funds.

Borrower name(s):

Property address:

Mortgage account number:

Authorized signature: I/We request that my/our home equity line of credit listed above be permanently restricted.

Signature

Date

Wells Fargo Home Equity is a division of Wells Fargo Bank, N.A. ? 2023 Wells Fargo Bank, N.A. All rights reserved NMLSR ID 399801

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