Authorization To Contact Creditors

Authorization to Contact Creditors

Client Name: _______________________________

Address: _______________________________

City, State, Zip: _______________________________

Credit Service Co. _______________________________

I, the undersigned, hereby authorize ___________________ to contact my creditors on my behalf and to open up channels of negotiation and payment plans with them.

I further authorize my creditors to release my information to ______________________________.

This letter may be copied and presented to creditors as proof of my consent.

Signature _________________________ Date __________

Witness    _________________________ Date __________

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