Authorization to relase credit information


Re:  Loan #______________or Savings Account #____________,

I hereby authorize 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:
Date Opened______________    Present Balance_____________
The above is furnished to you in strictest confidence to
your request.

Date:_______________________      _______________________
By__________________________    By_______________________

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