PAYOFF REQUEST

AUTHORIZATION TO RELEASE INFORMATION

TO:	Mortgage Payoff Department

Company Name:
Phone:
Fax:
Loan Number: (must be provided by borrower)

The undersigned hereby authorizes the above referenced Lienholder/Lender to communicate directly with Legacy Title Agency regarding any information pertaining to any liens/loans affecting the referenced property below.

RE: Property Address :__________________________________

Please provide a payoff letter with interest calculated through:______________

Please Fax Payoff to: 248-479-5593

**Please be sure to reference the collateral address and/or liber & page of the mortgage/lien to be released on the payoff statement. Thank you!

Please furnish to us a statement of the amount necessary to pay in full including any amounts deferred due to a forbearance or modification agreement. If the borrower entered into a forbearance agreement and you are not the entity servicing any deferred amounts, please provide the contact information for the entity who is.

“In the event this loan is secured by a Mortgage allowing for advances of a credit line, please be advised that this letter authorizes you to freeze the referenced credit line upon issuance of your payoff [demand]. If you require further authorization, please contact the undersigned immediately. Payment pursuant to your payoff (demand) will eliminate any security interest you have in the property in question. In order to avoid unsecured additional advances the account must be frozen upon issuance of your payoff [demand]. If you make any additional advances they will not be secured by the subject property. We will be completing an escrow/closing transaction involving a new owner or lender in reliance on the release of your security interest in the property. Upon payment you will be obligated to issue a release of the Mortgage securing the line of credit.”

If a “short-sale” is involved with this request, the undersigned authorizes Mortgagee/Servicer to provide any and all documentation requested by Legacy Title Agency.

Signed

Borrower Last 4 of SS#

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Borrower Last 4 of SS#

_________________________________________