AUTHORIZATION TO RELEASE ACCOUNT INFORMATION
This request and authorization applies to Account Numbers(s):
I request and authorize American Honda Finance Corporation, Honda Lease Trust, HVT, Inc. or
HVT, Inc. as Trustee for Honda Lease Trust to release my account information by mail and
phone to:
Name: _______________________________________________________________________
Address: _____________________________________________________________________
City: ________________________ State: _________________ Zip Code:_______________
Date of Birth: _________________________________________
I authorize the release of my account information, to the person(s) listed above. This
authorization will be in effect for the duration of the loan unless it is revoked by me.
Account Holder Signature:____________________________________ Date:_____________
Honda Financial Services is a DBA of American Honda Finance Corporation