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International Applicants Only

AUTHORIZATION TO RELEASE INFORMATION

To Whom It May Concern:

I/We have made application with Interbanc Mortgage Services to obtain a mortgage loan to purchase a home.

I /We have named you as a reference on my application and request that you release any and all information concerning my account for use in connection with my home loan application.

Photocopies of this letter may be made to facilitate multiple inquiries. In the event you do receive a photocopy of this letter, it should be treated as any original and the requested information be released.

_______________________________________
BORROWER

________________________________________
CO-BORROWER

______________________________
DATE (DAY-MONTH-YEAR)

Return this signed form to:
IMS - InterBanc Mortgage Services
237 Lookout Place - Second Floor
Maitland, FL 32751 USA

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