AUTHORIZATION FOR PAYOFF
AUTHORIZATION FOR PAYOFF
DATE
____________________________________________________
LENDER NAME PHONE NUMBER OVERNIGHT ADDRESS
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________
ACCOUNT HOLDER ACCOUNT NUMBER SOCIAL SECURITY NUMBER VEHICLE ID NUMBER VEHICLE MAKE/MODEL
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________
The undersigned hereby authorizes and directs you to accept payment and documentation from:
ALBANY MOTORCARS/BMW OF ALBANY
805 E. OGLETHORPE BLVD
ALBANY, GA 31705
The payoff due to the institution on my account in the amount of $____________________ good thru ___________________________ and to surrender to them, or order, the properly endorsed Certificate of Title/Ownership to the above referenced vehicle. I UNDERSTAND THAT THIS PAYOFF WILL BE SENT WITHIN THE NEXT THIRTY (30) DAYS FROM THE DATE OF SALE, AND I MUST CONTINUE TO MAKE PAYMENTS UNTIL THE ACCOUNT HAS BEEN SATISFIED IN FULL.
Printed Name: Signature:
____________________________________________________ ____________________________________________________
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