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3rd Party Authorization Form - Veripro Solutions

Contact Us: Phone: 888-967-9700. Email: Fax: 877-492-6160. 3rd party authorization form (Please complete the information below, sign and return by FAX, email or USPS.). Today's Date: _____. Borrower Name: _____ Co-Borrower Name:_____. Account Number: _____. Property Street Address: _____. City: _____ State: _____ Zip: _____. I/We authorize Veripro Solutions to provide the following information regarding the above- referenced loan to the Authorized Party listed below: Authorized Party 1. Name: _____ Company (If Applicable): _____.

CONSUMER NOTICE: The account in connection with the above-referenced collateral address has been placed with Veripro Solutions Inc. ("Veripro") for purposes of negotiating a debt

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