Authorization for Bank to Release Information

Dear Sir or Madam:

You are hereby authorized and directed to release to ____________ at ____________ all banking information requested by him relating to our Account No. _______________, on this one time basis only.

We would consider it a great courtesy if you would respond promptly to their inquiries.

This shall be your good and sufficient authority for doing so.

With best regards,

________________
Authorized Signer on Account

cc Inquirer listed above