CONSENT TO RELEASE OF FINANCIAL INFORMATION
[City], [State]
Dated:
TO WHOM IT MAY CONCERN:
This authorizes all banks, financial institutions, businesses, employers, credit reporting agencies and any other businesses to which I am indebted or have assets located, to provide information concerning my finances and assets, without liability, to:
Name
Address
You are further requested not to disclose such information to any other person without written authority to do so.
__________________________________
Signature
Date Signed: ______________
State Specific Consent Forms
— For State Specific Consent Forms you can download in Word Format go to http://www.uslegalforms.com/consentforms/