Release Mortgage Payoff | Great American Abstract

Authorization to Release Mortgage Payoff

I/We are the borrowers of a loan that your bank is currently servicing. As part of a real estate transaction, I/We give permission for you to release payoff statements to TitleBox, Inc., and for TitleBox, Inc. to verify or obtain information about me or the property as TitleBox, Inc. deems necessary.

For any payoff involving a line of credit, you are authorized to place a hold on the account and subsequently close the account upon receipt of the payoff in full.

Date(Required)

Property Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How many parties are on the loan?(Required)

1st Borrower's Name(Required)

First Name Middle Name (optional) Last Name Suffix (optional)

Last 4 digits of SS#(Required)

2nd Borrower's Name(Required)

First Name Middle Name (optional) Last Name Suffix (optional)

Borrower 2: last 4 digits of SS#(Required)

3rd Borrower's Name(Required)

First Name Middle Name (optional) Last Name Suffix (optional)

Borrower 3: last 4 digits of SS#(Required)

4th Borrower's Name(Required)

First Name Middle Name (optional) Last Name Suffix (optional)

Borrower 4: last 4 digits of SS#(Required)

How many mortgage loans are to be paid off?(Required)

What's the name of your mortgage lender?(Required)

The name of the bank we're requesting a payoff from

What is your account or loan number?(Required)

You should find this on your statement

Lender's Phone Number(Required)

Lender's Email(Required)

What's the name of your second mortgage lender?(Required)

The name of the second bank we're requesting a payoff from

What is your second account or loan number?(Required)

You should find this on your statement

Lender's Phone Number(Required)

Lender's Email(Required)

Signature(Required)

Use your mouse or finger to draw your signature above

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