Read Microsoft Word - AUTHORIZATION REQUEST81310update.doc text version


I authorize Wells Fargo Home Mortgage to release information about my loan to: (Please print name of authorized 3rd party)

(Please print name of closing agent or settlement agent) This authorization is good until ________ (Expiration Date) or for the life of the loan if no expiration date is specified. However, this authorization can be revoked, in writing, at any time. ____________________________________ ____________________ Borrower Signature Date Last 4 digits of SSN

Mail or fax this completed form to: Wells Fargo Home Mortgage Wells Owned Loss Mitigation Attention: MAC X2409-01F 1 Home Campus Des Moines, IA 50328 Fax: 866-972-


Microsoft Word - AUTHORIZATION REQUEST81310update.doc

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