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Freddie Mac Relief Refinance Mortgage SM
Borrower Authorization
Step 1 - BROKER AND LOAN INFORMATION
Broker Name ________________________________________________________
Broker ID Number ___________________Broker Contact ____________________
Broker Phone Number __________________ Broker Fax Number __________________
Borrower’s Wells Fargo Serviced Loan Number____________________________________
Borrower’s Wells Fargo NEW Loan Number________________________________________
Step 2 – PRIMARY BORROWER AND PROPERTY INFORMATION
Last_____________________________ First _______________________ MI ______
Property Address
Street __________________________City ___________________ ST ________ Zip Code ___________
Step 3 – BORROWER AUTHORIZATION
BORROWER AUTHORIZATION to share original loan information: The undersigned (primary) borrower hereby consents to Wells Fargo Home Mortgage to release all information regarding my Wells Fargo serviced loan identified above to the broker identified above.
COMPLETION OF THIS FORM DOES NOT CONSTITUTE A LOAN APPROVAL OR QUALIFICATION FOR THE FREDDIE MAC RELIEF REFI PROGRAM.
Primary Borrower Signature ____________________________ Date ______________
(Signature required)
Broker to fax this form to 1-866-411-7128 and place this completed form in the loan file prior to delivery to Wells Fargo.
Freddie Mac Relief Refi Borrower Authorization Form V1.3
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