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Form 4506-T - Request For Transcript Of Tax Return, Authorization To Release Information Page 3

Mark One Capital

19800 MacArthur Blvd., Ste. 150, Irvine, CA 92612

Loan Application

AUTHORIZATION TO RELEASE INFORMATION

To Whom It May Concern:

The undersigned, Applicant, has applied for a real estate loan through Mark One Capital. You are hereby

requested and authorized to release any information required by Mark One Capital to complete the processing of

the loan request. Necessary credit information may include balances of savings deposits, checking accounts,

mortgage loans and consumer loans plus account and loan payment history. In addition, if Mark One Capital is

verifying my current or past employment, you are requested and authorized to release employment and pay data

which may include my date of employment, current position or position held, probability of continued

employment or reason for leaving, current or last pay and pay history, and average hours worked.

A photographic or carbon copy of this authorization (being a photographic or carbon of the signatures) of the

undersigned) may be deemed to be the equivalent of the original and may be used as a duplicate original.

Your prompt reply will help the pending real estate transaction.

Thank You,

Applicant Signature/Date

Social Security Number/TIN

Please Print:

Name_______________________________________________________

Address:_____________________________________________________

City/State/Zip: ________________________________________________

Loan Officer: ____________________________________

Form 111 – Page 1 of 1

Form 4506-T - Request For Transcript Of Tax Return, Authorization To Release Information Page 3