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LAW OFFICE OF THERESA L. PANZICA LLC
2510 W. IRVING PARK ROAD
CHICAGO IL 60618
PHONE 773-539-5970
FAX 773-539-4368
[email protected]
Date:________________________
Authorization to Release Information
Seller – ______________________________________
Address – ______________________________________
Loan Number(s) – ___________________________________________________
Social Security # ________-_______-__________
Password: PURPLE
DURATION OF AUTHORIZATION: Any and all time needed to obtain approval of the short sale and to
close the short sale.
TYPE OF INFORMATION AUTHORIZED TO BE RELEASED: Any and all information to pertaining to the
foreclosure process, obtaining short sale approval, the loan itself, the investor(s), to the closing date, to
gain extensions on short sale approval, to obtain final short sale approval at closing, and any other types
of information not specifically referenced.
My staff, Jennifer Lopez, Frank Panzica, Lore Schmidt, Teri Medina, Chris Kainovic, Carolina Rivera,
Alexandria (Ally) Spear, Alexandra Nowakowska, and Paola Rodriguez, along with realtor, ____________________,
and we, Attorney Theresa L. Panzica and Attorney Anthony Panzica, will be assisting the owner of the abovereferenced property in this short sale. Realtor, _____________, contact information is as follows:
Sincerely,
Telephone:__________________________________________________
Facsimile:__________________________________________________
Email:__________________________________________________
/s/Theresa L. Panzica
I, _________________________, hereby authorize ____________________________ to speak to my Attorney Theresa L.
Panzica and Anthony N. Panzica, and her staff, Jennifer Lopez, Frank Panzica, Lore Schmidt, Teri Medina, Chris
Kainovic, Carolina Rivera, Alexandria (Ally) Spear, Alexandra Nowakowska, and Paola Rodriguez, , along with
realtor, ___________________________. Also, I give permission to my lender to do an interior/exterior appraisal.
Signature(s)__________________________
____________________________
Printed Name(s):______________________
____________________________
Telephone Number:__________________
Date:_____________________________
_____________________
Items Needed:HUD____ Contract____ Tax Returns___-___ Bank Statements___-___ Pay Stubs___-___Hardship
Ltr____ Short Sale Lender Form____ Authorization Ltr____ Proof of Funds/Preapproval ____ Listing
Agreement____ Listing History____ Listing /MLS Sheet____