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RELEASE OF AUTHORIZATION LETTER

- Sample -

This letter advises your mortgage servicer that a HUD-approved housing counseling agency, or attorney, will be
speaking with the bank on your behalf. The agency’s counselor or an attorney will provide their version of this
form. This sample is included for information purposes only.

Date

Servicer Name
Servicer Street Address
Servicer City, State, Zip

Re: Loan Number ____________________, Property address ________________________

Dear Loss Mitigation Manager:
We the undersigned, hereby authorize _______________ (HUD-Approved Non-profit Housing Counseling
Agency or attorney) to act on our behalf in all manners relating to our mortgage loan in the original amount of
$______________ for the property located at _________________________________________ (include the
complete street address, city, state and zip code), including the signing of all documents relating to this
matter.

Any and all acts carried out by _________ (HUD-Approved Non-profit Housing Counseling Agency) on our
behalf shall have the same effect as acts of our own.

This authorization is valid until further written notice.

Sincerely,
Sign only after you have verified that
Borrower name(s) __________________ the housing counselor or attorney is legitimate.
Borrower phone number(s) _______________________________

Borrower social security number ________________________

NOTE: To find out if the housing counseling agency is HUD certified you can search on www.HUD.gov
To determine if your attorney is licensed in Washington State, you may check the WSBA Lawyer Directory at:
https://www.mywsba.org/PersonifyEbusiness/LegalDirectory.aspx

January 2020 | Page 16