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 […]
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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 […]
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Authorization to release school records
Re: <name of employee whose records are being sought> Date of Birth: <date of birth of employee> Social Security Number: <social security number> To: <registrar name> <I/We> hereby authorize <name of party or parties to acquire employment records> or their agent or representative, to inspect, review and make copies, including photostatic copies, of all records […]
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Authorization to release psychiyatric or psychological records
1234, Main Street Boston, MA 02123 05 April, 2005 <Recipient Address Goes Here> Hello, Re: <name of patient whose records are being sought> Date of Birth: <date of birth of patient> Social Security Number: <social security number> To: <name of doctor or hospital> I hereby authorize <name of party or parties to acquire medical records> […]
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Authorization to release medical records
Re: <name of patient whose records are being sought> Date of Birth: <date of birth of patient> Social Security Number: <social security number> To: <name of doctor or hospital> I hereby authorize <name of party or parties to acquire medical records> or their agent or representative, to inspect, review, and make copies, including photostatic copies, […]
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