Authorization To Furnish And Release Information

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AUTHORIZATION TO FURNISH AND
RELEASE INFORMATION
TO:
(mortgage lender’s name)
DATE:
, 20
RE:
Loan Number:
Borrower Name(s):
Property Address:
Property City, State, Zip:
Last 4 Digits of Social Security #:
I,
(borrower[s] name), currently residing at
(current address), County of
, State of
California, hereby authorize
(mortgage lender’s name)
to discuss, release, furnish and provide information related to my loan number
to:
FIGTREE Company, Inc. (dba FIGTREE Energy Financing). 9915 Mira Mesa Blvd. Suite 130, San Diego,
CA 92131
Signed by:
Signed by:
_________________________
_________________________
(Signature)
(Signature)
_________________________
_________________________
(Print Name)
(Print Name)
_________________________
_________________________
(Date)
(Date)

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