I:\COMMON\DEVSVCS\CODEENF\MASTER FORMS_TEMPLATES_POLICY\DEMAND REQUEST [MASTER] rev 4-2019.doc
City of Hemet
CODE COMPLIANCE DIVISION
445 E. Florida Avenue • Hemet, CA 92543
Phone (951) 765-2339 ▪ Fax (951) 765-2359
www.hemetca.gov
REQUEST FOR PAYOFF DEMAND
FOR A NOTICE OF PENDENCY PLACED BY CODE COMPLIANCE
REQUESTOR INFORMATION
REQUESTOR NAME:
COMPANY:
REQUESTOR TYPE: ESCROW CO TITLE CO REALTOR/BROKER OWNER OTHER
CONTACT PHONE #:
PLEASE MARK WHERE YOU
EMAIL
WOULD LIKE US TO SEND THE
PAYOFF DEMAND LETTER:
FAX
SUBJECT PROPERTY INFORMATION
ASSESSOR PARCEL
NUMBER:
PROPERTY ADDRESS:
CODE CASE NUMBER(S):
(if known)
REASON FOR REQUEST: PROPERTY SALE REFINANCE OTHER
PROSPECTIVE BUYER NAME:
(if applicable)
Reserved Date Stamp
Intake By: ___________________________
FOR CITY STAFF USE ONLY
Staff Assigned
:_______________________________________ Date: ________________________
Reviewed By: ________________________________________ Date: ________________________
Letter Issued: ________________________________________