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AUTHORIZATION TO BANK TO RELEASE ACCOUNT INFORMATION TO FINANCIAL

ADVISER
[DATE, ex. Wednesday, June 11, 1998]
[NAME, BANK AND ADDRESS, ex.
John Smith
XYZ Bank
1234 First Street
Suite 567
Anycity, Anystate 85245]
Dear [NAME, ex. John Smith],
You are hereby authorized to release to [NAME OF INDIVIDUAL OR COMPANY] all banking
information requested by [him / her / it] relating to our Account No. [ACCOUNT NO., ex.
12345678].
This shall be your good and sufficient authority for so doing.
Sincerely,
[YOUR NAME, ex. Jill Jones]

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