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Chapter 6

Form 6-35

Records Authorization—Financial

I, [name], authorize [name of bank or other financial institution] to release all financial records and information to [name] and the law firm of [name of law firm]. This authorization specifically includes the following:

1.The credit file, loan file, and copies or originals of all promissory notes, guaranty agreements, or other obligations and all financial statements, profit and loss statements, bal­ance sheet statements, and operating statements submitted or executed by [name of party] or any of the following entities: [names of partnerships, corporations, or other entities in which the party has an interest].

2.All signature cards, deposit-box rental agreements, deposit-box entry records, records of assets in safekeeping, bank statements, deposit records, withdrawal records of all checking accounts, savings accounts, certificates of deposit, or interest-bearing accounts maintained in the name of [name of party] or on which that person had the right to draw for the period [date] to the date of production thereof, including but not limited to the following:

a.Account number [number] in the name of [name of account].

b.[Continue with identification of other accounts.]

3.All contractual agreements between [name of bank or other financial institution] and [name], including but not limited to lines of credit, contracts for drafting authority, and security agreements for the period [date] to the date of production thereof.

4.All the above records maintained for the benefit of [name of party] in the Trust Department.

I authorize reliance on a photocopy of this authorization.

   
[Name]
Social Security number [number]

State of Texas)

County of)

This instrument was acknowledged before me on __________________________ by [name of person acknowledging].

   
Notary Public, State of Texas