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Authorization for Payoff
Date
Customer(s)OWNER
Property Address
Mortgage Company Name and Address
Mortgage Company Phone and Fax Number (if available)
Loan Number
Payoff Dept:
We hereby authorize you to release all information regarding our account
to
or any bank, mortgage company or title company
possessing this release form or a copy thereof. The release is further granted to any second
mortgage holders and/or equity line holder.
Further, if this mortgage is an equity line of credit, you are hereby authorized to freeze
this account for a 30-day period, as we anticipate having this account paid off and closed within
this time frame.
(Signature) (Social Security Number)
(Signature) (Social Security Number)
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