Payoff Authorization Form

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

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

Your Name

Date

Social Security Number

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