Wells Fargo Authorization – Fill Out and Use This PDF

Enter the Borrower name(s), the Property address and the Loan number.

Enter the Third party name, the Mailing address, the Phone number and the Email address.

Enter the Relationship of third party (i.e., attorney, real estate agent, etc.) and the Expiration date for this authorization.

If no expiration date is provided, this authorization will remain in place for the life of the loan; however, if you are granting authorization to a real estate agent, the authorization will expire one year after the date it is granted.

Check all that apply: Receive information about my loan, Update existing tax information, and Update existing insurance information or provide replacement coverage information.

Updates to taxes and/or insurance may result in an immediate change to the monthly mortgage payments for this loan.

To allow an authorized third party/parties to make other changes to your loan information, a notarized Power of Attorney or Court Order for the authorized party/parties that “grants full authority to make, acknowledge and deliver those changes for you and in your name” is required.

The borrower signs on the line marked Borrower's signature (required).

Enter the Date as MM/DD/YYYY and the Last four digits of SSN or TIN.

By signing, you accept responsibility for all actions taken on your loan by the party named in Third party name, and you agree that if you wish to discontinue the authorization noted on this form, you will notify Wells Fargo in writing or by calling the number listed in the account information section of the accompanying letter.

Submit this form by mail to Wells Fargo Home Mortgage MAC X9999-01N PO Box 1629 Minneapolis, MN 55440-9790. Submit this form by fax to 1-866-359-7363.