Foreclosure Prevention Counseling Forms (Page 2 of 4) in pdf

Foreclosure Prevention Counseling Forms Page 2

Form 1: Authorization for Release of Information

TO: ______________________

____________________

Attention: Loss Mitigation Department

RE: Account No.: _______________________

Borrowers: ______________________

Property Address:

________________________

Dear Sir or Madam:

We are working with __________________________________________, (a HUD

certified counseling agency) on a plan to resolve our mortgage delinquency. We hereby authorize

you to release any and all information concerning our account to it at their request.

We further authorize you to discuss our case with ____________ or _____________

of that agency. They are working to help us address our financial problems and to propose a

loss mitigation plan which is within your guidelines.

At present, we request that you fill out the request for loan information which

accompanies this letter. Please return it to ____________ by fax (____________) no later than

_____________________.

You may release additional information to the agency in the future without further

authorization.

Thank you taking the time to deal with this request.

Very truly yours

______________________________

Address: _____________________

_____________________________

Phone: _______________________

Foreclosure Prevention Counseling Forms Page 2