1030 W. Higgins Road, Suite 365
Park Ridge, IL. 60068	
 847-696-1000    Fax:  847-696-1001
www.saturntitle.com	

										   info@Saturntitle.com

Authorization to Release Information

Lender/Lien Holder: _____________________________________

Loan/Account Number: __________________________________ 

Property Address: _____________________________________

I/We hereby authorize you to Release Information to:
Saturn Title, LLC and /or Agnes Mroczkowski – Manager, Shea Beck, Marlene Rogowski, or their agents and/or assigns

Any and all information that they require regarding any documented data ( original, certified copies, proprietary, computer screen, etc) for the immediate transfer by either verbal or written request, specific to my loan/account for the above referenced property and/or note purchase/assignment. You may reproduce this document to acquire reference material from more/other sources as required or requested. I ALSO AUTHORIZE THE ABOVE NAMED AGENT TO OBTAIN A COPY OF MY CREDIT REPORT FROM A CREDIT REPORTING AGENCY.

________________________	___________________	____________
First Borrower Signature		Social Security Number	Date

________________________	___________________________________
First Borrower Printed Name		Drivers License/State Identification Number

					Issuing State: ________________________		

________________________	___________________	____________
Second Borrower Signature		Social Security Number	Date

________________________	___________________________________
Second Borrower Printed Name	Drivers License/State Identification Number

					Issuing State: ________________________