Opt Out Election Form

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Opt Out Election Form
Select Portfolio Servicing

Print, complete, and return this form to:

Select Portfolio Servicing, Inc.
PO Box 65769
Salt Lake City, UT 84165-0769

Please do not send payments to this address.

 Please do not disclose my nonpublic personal information to affiliated or nonaffiliated companies, other than as permitted by law. I understand that my right to opt out does not include disclosures made as necessary to service my loan, disclosures made to other financial institutions with which Select Portfolio Servicing, Inc. has entered into joint marketing agreements, or other disclosures permitted by law.

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Customer Signature

Loan Number __________________