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Authorizationtorelease

The document is an authorization form for Charles Jeffrey Alsbrooks to allow OneMain to obtain specific information including employment verification, proof of insurance, loan payoff history, and mortgage/rent references. It includes a section for the customer to sign and date the authorization. The customer is informed of their right to review the information and revoke the authorization at any time.

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patriciafiona777
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7 views1 page

Authorizationtorelease

The document is an authorization form for Charles Jeffrey Alsbrooks to allow OneMain to obtain specific information including employment verification, proof of insurance, loan payoff history, and mortgage/rent references. It includes a section for the customer to sign and date the authorization. The customer is informed of their right to review the information and revoke the authorization at any time.

Uploaded by

patriciafiona777
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OneMain

1270 Northland Dr, Suite 200


Mendota Heights, MN 55120
800.323.8375

Authorization to Release Information

CHARLES JEFFREY ALSBROOKS


Customer Name(s): _________________________________________

Address: ____________________________________________
10394 County Highway 48 Russellville Alabama

____________________________________________

I hereby authorize OneMain to obtain the following information:


• Employment and Income Verification
• Proof of Insurance/Add Loss Payee
• Loan Payoff/Payment History
• Mortgage/Rent Reference

I understand that I may see the information that is to be sent, and that I may
revoke the authorization at any time by written, dated communication.

I have read and understand the nature of this authorization.

___________________________________ _________________
11/11/2024
Customer Signature Date

___________________________________ _________________
11/11/2024
Customer Signature Date

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