PNC SHORT SALE third party authorization

1. Date ________________
Mortgagor _____________________
Co-Mortgagor _____________________
Property
Address ____________________________
____________________________________
Loan No. _________________
Dear Customer:
Thank you for your request to release loan information to a third party.
Please note that your loan information is confidential and PNC Mortgage,
a division of PNC Bank, National Association requires
your signed authorization in order to release information to a third
party. Please indicate below any information that you are authorizing
us to release.
___ General mortgage loan information, such as: loan balance, next
payment due date, payment options, hardship assistance, payment
arrangements, interest rate, loan term, payoff information.
___ Update contact information, such as: mailing address, telephone
number or email address.
___ Update financial institution information, for example: bank name,
checking or savings account information.
___ Loan documentation, such as: copies of correspondence or signed
documents from the loan closing.
___ Information concerning your escrow refunds, for example: the
status of an escrow check or copies of cancelled escrow checks.
Once you have selected the information you wish to be released,
sign the form below and return to PNC Mortgage via mail or fax:
Mailing Address: PNC Mortgage, P.O. Box 1820, Dayton, OH 45401
Fax To: 855-363-2738
We will send you a confirmation letter confirming receipt and release approval.

2. This authorization will remain on record for the life of the loan or
until revoked, in writing, by you.
Please Print Approved Name________________________________ Date__________
Borrower:_________________________Co-Borrower:___________________________
If you have further questions about your loan, please call our
knowledgeable Customer Service Team at 1-800-822-5626.
Sincerely,
PNC Mortgage
Customer Service Department CR624