SAXE MORTGAGE COMPANY

950 John Daly Blvd., Suite 200, Daly City, CA 94015 (650) 755-7293 Fax (650) 755-7064

CREDIT AUTHORIZATION RELEASE


To Whom It May Concern:

I, the undersigned, hereby authorize Saxe Mortgage Company to verify references which may include employment history, bank accounts, credit history, broker relationships and all other information deemed necessary in connection with the application I have submitted for broker approval.

You are authorized to give ratings, loan balances, and other information requested to provide Saxe Mortgage Company assistance in completing my broker application.

I authorize Saxe Mortgage Company to reproduce this form as many times as necessary in order to obtain said information; therefore, a copy bearing my signature carries the same authority as the original.

Your company, officers, and employees are held harmless by for furnishing true and correct information.


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COMPANY NAME

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APPLICANT’S NAME

By:_________________________________

Title:________________________________

Date:________________________________