[si-contact-form form=’5′]
LETTER OF AUTHORIZATION
Date:
Property and Mortgage / Lien Holder Information
To: 1st Mortgage / Lien Holder: _______________________________
Re: 1st Mortgage or Loan / Account Number: ____________________
To: 2nd Mortgage / Lien Holder: _______________________________
Re: 2nd Mortgage or Loan / Account Number: ____________________
To: Other Mortgage / Lien Holder: _______________________________
Re: Other Mortgage or Loan / Account Number: ____________________
Property u0026amp; Borrower / Homeowner Information
Property Address: ________________________ City: _______________ State:___Zip_______
Property Owner(s) Name: __________________________ u0026amp; __________________________
Primary Borrower Last 4 of SSN: ______________ Co-Borrower Last 4 of SSN________________
To Whom It May Concern:
I, __________________________ u0026amp; ___________________________
Borrower Co-Borrower
herewith give the above referenced mortgage holder / lender, attorney, servicer, and/or insurer of the mortgage loan or credit card debt referenced above permission to speak with and disclose financial records pertaining to the loan or debt to John Newman, Liz Bell, and Nicole Newman of Keller Williams Realty and or each of his respective assigns, associates, employees or agents. A facsimile copy of this document may serve with all of the rights and legalities as an original. Accordingly, I agree to indemnify and hold harmless, John Newman, Liz Bell and Nicole Newman of Keller Williams Realty and or each of his respective assigns, associates, employees or agents from any liability for actions taken by the lender or as a result of this contemplated short sale transaction.
_________________________________ Signature ________________ Date
_________________________________ Signature ________________ Date