CONSENT FOR RELEASE OF INFORMATION

CONSENT FOR RELEASE OF INFORMATION
TO SHEET METAL WORKERS’ LOCAL UNION NO. 73 ANNUITY FUND
AT 4530 ROOSEVELT ROAD, HILLSIDE, ILLINOIS 60162

Currently I have an outstanding loan in default with

Bank, Loan number

By Consent for Release, I direct the representatives of

Bank, located at

To release to and provide to Sheet Metal Workers’ Local Union No. 73 Annuity Fund, 4530 Roosevelt Road, Hillside, Illinois 60162 (708-449-7373) information so that they can verify my default on the above referenced loan, including information on monthly amounts overdue, fees, costs and interest.

I/we understand that this information may be used in determining the outcome of my/our Sheet Metal Workers’ Local Union No. 73 Annuity loan request.

Sheet Metal Workers’ Local Union No. 73 Annuity Fund and

Bank are not affiliated companies.

Mortgagee: Co-Mortgagee:

By

Date:

State of

County of

Subscribed and Sworn to

Before me this

day of

CONSENT FOR RELEASE OF INFORMATION
TO SHEET METAL WORKERS’ LOCAL UNION NO. 73 ANNUITY FUND
AT 4530 ROOSEVELT ROAD, HILLSIDE, ILLINOIS 60162

Address Info

Hours of Operation

CONSENT FOR RELEASE OF INFORMATION

CONSENT FOR RELEASE OF INFORMATION TO SHEET METAL WORKERS’ LOCAL UNION NO. 73 ANNUITY FUND AT 4530 ROOSEVELT ROAD, HILLSIDE, ILLINOIS 60162

Address Info

Hours of Operation

CONSENT FOR RELEASE OF INFORMATION
TO SHEET METAL WORKERS’ LOCAL UNION NO. 73 ANNUITY FUND
AT 4530 ROOSEVELT ROAD, HILLSIDE, ILLINOIS 60162