SAMPLE CONSENT FORM To be faxed directly to Lender Servicer(s

SAMPLE CONSENT FORM
To be faxed directly to Lender Servicer(s) Bankruptcy area(s) from Attorney’s Office
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Name of Law Firm
Address
Phone
To: (Name of Lender Servicing Company)
Mailing Address of Lender Servicing Company
FAX Number of Lender Servicing Company Bankruptcy area:
ATTORNEY CONSENT
RE: (Name of Borrower(s))
BANKRUPTCY CASE: (state case number)
CREDITOR: (state Lender Servicing Company)
ACCOUNT NUMBER: (state loan number)
In my capacity as counsel for the above-referenced Debtor in the above-referenced
bankruptcy case, I hereby authorize (state Lender Servicer), by its agents, to
communicate directly with Debtor, with such communications restricted to the subject
matter of a workout or loss mitigation alternative with respect to the above-referenced
account number. In authorizing the same, it is understood that (state Lender Servicer)
shall not communicate with the Debtor on any other issue.
CONSENTED TO:
_______________________________
Debtor(s) Attorney – Name of Attorney
Date: _______________________
Debtor(s) can reached at the following number: ________________________.