AUTHORIZATION TO RELEASE INFORMATION
Form RD 3550-1Form Approved(Rev. 06-06)OMB No. 0575-0172United states Department of AgricultureRural DevelopmentRural Housing ServiceAUTHORIZATION TO RELEASE INFORMATIONTO: _____________________________________RE: _____________________________________Acc ount or Other Identifying Number _____________________________________Nam e of CustomerI, and/or adults in my household, have applied for or obtained a loan or grant from the Rural Housing Service (RHS), part of the RuralDevelopment mission area of the United states Department of Agriculture. As part of the process or in considering my household forinterest credit, payment assistance, or other servicing assistance on such loan, RHS may verify INFORMATION contained in my request forassistance and in other documents required in connection with the , or another adult in my household, authorize you to provide to RHS for verification purposes the following applicable inf
• Past and present employment or income records. • Bank account, stock holdings, and any other asset balances. ... this authorization to release information will cover any future ... State, or Federal agency, when Rural Development determines such referral is appropriate for servicing
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