321 Oval Drive
Policy Number: 1000
To Whom It May Concern:
This letter authorizes you to release all loss information for the above policy and all others we have had with your Company to the direct attention of Stephanie Kuhn c/o National Insurance Brokerage of New York, Inc.,
Please do so in the time allotted by New York State Law No. 3426 which is twenty (20) days.
Should you have any questions or foresee a delay, please contact Andre Abe directly at 86656546546.
Thank you for your immediate attention to this matter.
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