Authorization 3



TO: __________________________


Re: Loan #______________or Savings Account #____________,


I hereby authorize to release to ___________________________, credit information for my pending credit application on a real estate transaction.






Loan Opened________________ Monthly Payments___________

High Credit________________ Current Balance____________

Paying Record____________________________________________

Savings Account Number:

Date Opened______________ Present Balance_____________

The above is provided to you in strictest confidence to your request.


Date: _______________________ _______________________

By__________________________ By _______________________

Authorization 3

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