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