AUTHORIZATION TO RELEASE INFORMATION Borrower(s) Name(s): ______________________________ Property Address: _________________________________ Lender: ________________________________________ Loan #: SSN(s):
I, _______________________, hereby authorize ______________________ to release their complete files related to any aspect of any services rendered to me in connection with the loan modification, sale, refinance, transfer, lease, short sale or occupancy of the property located at _________________________ to:
Sharianne Daily RE/MAX Alliance 4703 A Boardwalk Drive Fort Collins, CO 80525 I/we further authorize the above-mentioned parties to accept a photocopy of this document as if an original. Dated this
Signature,
day of April, 2010
Filename: sfAUTHORIZATION TO RELEASE INFORMATION.docx Directory: C:\Documents and Settings\Jeannette Gongloff\My Documents Template: C:\Documents and Settings\Jeannette Gongloff\Application Data\Microsoft\Templates\Normal.dotm Title: Subject: Author: Jeannette Gongloff Keywords: Comments: Creation Date: 4/14/2010 5:19:00 PM Change Number: 4 Last Saved On: 4/14/2010 5:20:00 PM Last Saved By: Preferred Customer Total Editing Time: 1 Minute Last Printed On: 4/14/2010 5:22:00 PM As of Last Complete Printing Number of Pages: 1 Number of Words: 116 (approx.) Number of Characters: 667 (approx.)