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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): _____. Email Address: _____ Phone Number: _____. Street Address: _____ City: _____ State: _____ Zip: _____. Relationship to Borrower: _____. Authorized Party 2. Name: _____ Company (If Applicable): _____. Email Address: _____ Phone Number: _____. Street Address: _____ City: _____ State: _____ Zip: _____. Relationship to Borrower: _____.

3rd Party Authorization Form (Please complete the information below, sign and return by FAX, email or USPS.) Contact Us: Phone: 888-967-9700 Email: Correspondence@veriprosolutions.com

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