Other

TXR 2516Authorization to Furnish TILA-RESPA Integrated Disclosures

This form authorizes the client's lender, title company, escrow agent, and/or their representatives to disclose and furnish copies of loan estimates, closing disclosures, or other settlement statements related to the real estate transaction to the client's broker or the broker's authorized agent. Af

Source: TXR
Form Number: 2516
Category: Other
Revised: June 15, 2015

Used For

Residential Sales

Form Outline

The TXR 2516 form is organized into the following sections:

  1. To: Lender, Title Company, Escrow Agent — RE: Property
    Printed addressee line "To: Lender, Title Company, Escrow Agent, and/or their representatives", then "RE: ____ (Property)".
  2. Client and Broker Identification
    "I, ____ ❑ Seller ❑ Buyer, have entered into an exclusive listing/representation agreement with the following Broker:" followed by the broker's Name, TREC License Number, Address, City/State/Zip, Phone, Fax, E-Mail, and the authorized agent's name and TREC license number, if applicable.
  3. Authorization Statement
    Printed text: "I hereby authorize you to disclose and furnish a copy of any and all loan estimates, closing disclosures or other settlement statements provided in relation to the closing of the real estate transaction involving the Property, to the above-named Broker or Broker's authorized agent."
  4. Client Signatures
    Two "Signature of Client … Date" rules — e-sign tabs placed when the form is sent.

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