AUTHORIZATION TO RELEASE INFORMATION

          I/We hereby authorize you to release to ________________________________ any and all information regarding my/our account that they may require for the purpose of a credit transaction or loan transfer.  You may reproduce this document to acquire reference from more than one source.

Thank You.

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Signature                                                Soc. Sec. #                                              Date

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Printed Name

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Signature                                                Soc. Sec. #                                   Date

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Printed Name