Authorization To Release Information printable pdf download

Authorization To Release Information

AUTHORIZATION TO RELEASE

INFORMATION

Lender ______________________________________

Owner(s) ____________________________________

____________________________________

Loan # ______________________________________

Property _____________________________________

Date: ________________________________________

I/We hereby authorize the release of information to ____________________________ or its

agents and assigns any and all information that they may require about my loan, mortgage/trust

deed, assumption loan package, payoff loan statement, insurance, tax reference information

concerning the above referenced property.

You may reproduce this document to acquire reference from more than one source.

Furthermore, “agents” shall include all real estate brokers and their salespersons or assistants,

title or escrow companies and their employees, attorneys and their employees and other assigns.

Thank You,

Name__________________________ SSN_______________ Date________________

Phone #_________________

Name__________________________ SSN_______________ Date________________

Phone #_________________

Authorization To Release Information