AUTHORIZATION TO RELEASE

AUTHORIZATION TO RELEASE MORTGAGE INFORMATION TO:___________________________________________________________________________ I (WE) HEREBY AUTHORIZE THE RELEASE OF INFORMATION CONCERNING MY (OUR) MORTGAGE (DEBT) AS FOLLOWS: NAME OF MORTGAGORS (S) __________________________________________________ __________________________________________________ SOCIAL SECURITY NUMBER (S) ______________________________________________ ______________________________________________ NAME OF MORTGAGE COMPANY(IES): _______________________________________ ________________________________________________ ________________________________________________ ADDRESS OF MORTGAGE PROPERTY:________________________________________ ________________________________________________ ________________________________________________ LOAN NUMBERS: ________________________________________________ ________________________________________________ NAME OF PARTY TO WHOM INFORMATION MY BE GIVEN: THIS AUTHORIZATION TO RELEASE INFORMATION DATED THIS _____________ DAY OF __________________. ___________________________________________________ ___________________________________________________