AUTHORIZATION
TO:__________________________
Re: Loan #______________or Savings Account #____________,
I hereby authorize release to ___________________________,
credit information for my pending credit application on a
real estate transaction.
________________________
Signature
Loan Opened________________ Monthly Payments___________
High Credit________________ Current Balance____________
Paying Record____________________________________________
Savings Account:
Date Opened______________ Present Balance_____________
The above is furnished to you in strictest confidence to
your request.
Date:_______________________ _______________________
By__________________________ By_______________________
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