Authorization to Release Information Re Loan 2

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					           AUTHORIZATION TO RELEASE INFORMATION


DATE: _____________________________


TO WHOM IT MAY CONCERN:

I/We, the undersigned, hereby authorize The Pacific Gateway Center, a
Community Development Financial Institution. To verify my/our
employment records, bank account(s), credit history and all other
information in connection with my/our loan application.

You are authorized to give credit ratings, loan balances, bank accounts
balances, wage information (including bonus and overtime data) and any
other information requested by said Lender.

A copy of this authorization may be accepted as an original.

Your company, officers and employees are held harmless by me/us for
furnishing true and correct information. A prompt reply to the lender is
greatly appreciated.



__________________________                              _____________________________
Applicant (Printed Name)                                Applicant (Signature)



__________________________                              _____________________________
Co-Applicant (Printed Name)                             Co-Applicant (Signature)


             83 NORTH KING STREET, HONOLULU, HAWAII 96817 – TEL (808) 851-7010 – FAX (808) 851-7019

                                 FORMERLY KNOWN AS THE IMMIGRANT CENTER

				
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posted:11/5/2012
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