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Authorization


AUTHORIZATION

TO:__________________________

Re: Loan #______________or Savings Account #____________,

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

________________________
Signature

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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