Third Party Authorization Form PDF Details

When you need to authorize someone else to act on your behalf, you'll need to fill out a third party authorization form. This document allows the individual listed as the authorized representative to make decisions or take action on your behalf. There are a few things to keep in mind when completing this form, so be sure to read through the instructions carefully. The process can seem a little daunting at first, but with a little preparation, it's easy enough to do. So let's take a closer look at what's involved in filling out a third party authorization form. Third Party Authorization forms allow for individuals who are not legally able or cannot represent themselves for medical decision making etc.

The table includes information about the third party authorization form. Before you decide to fill out the form, it can be worth checking a little more about it.

QuestionAnswer
Form NameThird Party Authorization Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesthird party auth myloancare com, thirdparty auth myloancare com, thirdpartyauth myloancare com, party authorization form

Form Preview Example

THIRD PARTY AUTHORIZATION FORM

Homeowner Information

Borrower Name

 

 

 

 

 

Co‐Borrower Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

Property Address (if different than mailing address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daytime:

 

Evening:

 

Cell:

E‐mail Address:

 

 

 

 

Phone Numbers/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mortgage Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Mortgage Company (i.e., Mortgage Servicer)

 

 

Loan Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mortgage Company Contact Name

 

 

 

 

Contact Phone

 

Contact E‐mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender Name (if Different Than Mortgage Company)

 

 

 

Loan Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender Contact Name

 

 

 

 

Contact Phone

 

Contact E‐mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Housing Counselor Agency

 

 

 

 

Agency’s File Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Housing Counselor Name

 

 

 

 

Contact Phone

 

 

Contact E‐mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized Third Party

 

 

 

 

Contact Phone

 

 

Contact E‐mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loan Type

 

Conventional

FHA

VA

 

Foreclosure Sale Date (if applicable)

/_

_/_

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The undersigned Borrower and, if applicable, Co‐Borrower, is/are currently working with the Housing Counselor named above and hereby authorize the Housing Counselor and its employees to speak with and discuss my mortgage loan on my behalf with the Lender and the Mortgage Loan Servicer named above, as well as with the owner of the mortgage loan (such as Fannie Mae and Freddie Mac), with the Lender, the Mortgage Loan Servicer and the owner of the mortgage loan collectively referred to as “Mortgagee,” and also authorize each of the entities constituting the Mortgagee to speak with and discuss my mortgage loan on my behalf with the Housing Counselor and any Authorized Third Party named above. The Housing Counselor and each of the entities constituting the Mortgagee are each authorized to share with the other any and all information concerning me/us in their possession including, but not limited to, financial information, without further authorization from me/us.

The Housing Counselor and its employees are authorized to furnish copies of this Authorization to any of the entities constituting the Mortgagee and such entities may rely on this Authorization.

Borrower’s Signature

 

Date

 

 

 

Co‐Borrower’s Signature

 

Date

4/2013

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