( ) Not Applicable Local Form 13 July 2009 AUTHORIZATION TO RELEASE INFORMATION TO THE TRUSTEE REGARDING MORTGAGE CLAIM BEING PAID BY THE TRUSTEE (to be filed with the Court) Debtor Name(s) _____________________________________ Case No. _________________ The Debtor(s) in the above captioned bankruptcy case does/do hereby authorize any and all lien holders on real property of the bankruptcy estate to release information to the standing Chapter 13 Trustee upon request. The information to be released includes, but is not limited to, the amount of the postpetition monthly installment payments, the annual interest rate and type of loan, the loan balance, the escrow account(s), the amount of the contractual late charge, and the mailing address for payments. This information will only be used by the Trustee and his/her staff in the administration of the bankruptcy estate and may be included in motions brought before the Court. _____________________________ Debtor’s Signature ______________________________ Joint Debtor’s Signature _____________________________ Dated _______________________________ Dated American LegalNet, Inc. www.FormsWorkFlow.com