Authorization to Release Loan Information

AUTHORIZATION TO RELEASE LOAN INFORMATION

Authorization Date: ______________

Borrower(s) Name:_________________________________________________

Home Phone:  _____________________      Cell Phone:  __________________

Loan Number: ___________________________

Property Address: __________________________________________________

To (Mortgage Company Address):

 ________________________________________________________________

 

_________________________________________________________________

 

 _________________________________________________________________

 

I/We the undersigned hereby authorize you to release information regarding the above

referenced loan to             Brian Edwards, Matt Durand and Jennifer Creta      and/or their

agents/assigns.  This form may be duplicated in blank and or sent via facsimile transmission. 

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.

 

_____________________________                           DOB: ___________________

Borrower

                                                                                     SSN:  ___________________

 

 

_____________________________                           DOB: ___________________

Borrower

                                                                                     SSN:  ___________________