The Homeowners Guide to Real Estate Short Sales

Sample Authorization to Release Form

 

Authorization to Release Information

 

           Dated: _____________

 

TO: ______________________________________________

 

 

Borrowers: ____________________________________________________________

 

Property: _______________________________ Loan Number: ________________

 

 

We, the undersigned, hereby authorize you to release information regarding the

 

 above-referenced loan to _______________________________ and/or their agents or

 

assignees. This form may be duplicated in blank and/or sent via facsimile

 

transmission. This authorization is a continuing authorization about my loan,

 

 including duplicates of any notices sent to me about my loan.

 

 

Borrower:

 

Sign: X___________________________________     DOB: _______________________

 

                                                                 SSN: ________________________

 

                                   Mothers Maiden Name: ________________________

 

Borrower:

 

Sign: X__________________________________       DOB: ________________________

 

                                                                 SSN: _________________________

 

                                   Mothers Maiden Name: _________________________