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_______________________