Payoff Authorization Form

For our use in obtaining your final payoff statement for your current loans.

Subject Property Address

Your Name

Social Security Number

Current Mortgage Lender #1

Phone Number

Loan Account Number

Date of last payment

Current Mortgage Lender #2

Phone Number

Loan Account Number

Date of last payment

Secured Property Address

Today's Date

I hereby authorize Tallman Law Associates, PC, to obtain a mortgage load payoff figure for my mortgage loan(s).

Signature

Phone

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