Date ________________ Mortgagor _____________________ Co-Mortgagor _____________________ Property Address ____________________________ ____________________________________ Loan No. _________________ Dear Customer: Thank you for your request to release loan information to a third party. Please note that your loan information is confidential and PNC Mortgage, a division of PNC Bank, National Association requires your signed authorization in order to release information to a third party. Please indicate below any information that you are authorizing us to release. ___ General mortgage loan information, such as: loan balance, next payment due date, payment options, hardship assistance, payment arrangements, interest rate, loan term, payoff information. ___ Update contact information, such as: mailing address, telephone number or email address. ___ Update financial institution information, for example: bank name, checking or savings account information. ___ Loan documentation, such as: copies of correspondence or signed documents from the loan closing. ___ Information concerning your escrow refunds, for example: the status of an escrow check or copies of cancelled escrow checks. Once you have selected the information you wish to be released, sign the form below and return to PNC Mortgage via mail or fax: Mailing Address: PNC Mortgage, P.O. Box 1820, Dayton, OH 45401 Fax To: 855-363-2738 We will send you a confirmation letter confirming receipt and release approval.

This authorization will remain on record for the life of the loan or until revoked, in writing, by you. Please Print Approved Name________________________________ Date__________ Borrower:_________________________Co-Borrower:___________________________ If you have further questions about your loan, please call our knowledgeable Customer Service Team at 1-800-822-5626. Sincerely, PNC Mortgage Customer Service Department      CR624