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_______________________
