Authority to Release Information

This authorizes Apex Financial to negotiate when necessary with my creditors/collection agencies to settle any outstanding accounts that I owe. I/we also authorize Apex Financial to receive any documentation regarding our accounts.  Client has read and understands Apex Financial contract and understands its contents.

Client's Signature ____________________________ Date Executed _____________

Print Name ________________________________

Client's Social Security Number ______________________

Client's Signature ____________________________ Date Executed _____________

Print Name ________________________________

Client's Social Security Number ______________________