Letter of Authorization for the Request of Information

Letter of Authorization for the Request of Information - Borrower
Please accept this letter as a formal request and authorization to provide thirdparty access to the Borrower’s account. This information request shall be limited to payment history & general account information.
Original Date of Authorization

MonthDayYear
Date
Expiration Date of Authorization
Borrower please indicate the level of authorization you are providing:

Payment HistoryGeneral Account InformationComplete Account InformationOther
PROPERTY INFORMATION
Property Address #1
Borrower Account Number #1
Property Address #2
Borrower Account #2
Property Address #3
Borrower Account #3
AUTHORIZATION
I, NAME OF BORROWER, affirm that I have the authority to make and sign this request on behalf of my property and all account IDs that are associated with this request.
Borrower Signature

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Date

MonthDayYear
Date
By checking this box, NAME OF REQUESTING PARTY, affirms to have authorization from the Client identified below to obtain Clients’ account and historical usage information and holds August REI, LLC harmless for providing the data to requested party as identified on this form.

Accept
Requesting Company
Name of Requester
Requester Address
Title of Requester
Requester Phone
Requester Email
example@example.com
Requester Signature

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Date

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August Real Estate Investments LLC | NMLS#144640 | www.AugustREI.com | Mail: PO Box 496644, Garland, TX 75049 | 3960 Broadway, Suite 107, Garland, TX 75043
Should be Empty:

Letter of Authorization for the Request of Information - Borrower

PROPERTY INFORMATION

AUTHORIZATION