MORTGAGE PAYOFF REQUEST AND AUTHORIZATION FORM

[Pages:1]MORTGAGE PAYOFF REQUEST AND AUTHORIZATION FORM

Lender: Phone: Address:

Subject Property Address:

Mortgagor(s) (Seller's Name):

Loan Number:

To Whom It May Concern:

This is your authorization to forward a mortgage payoff letter to:

Best Homes Title Agency

23938 Research Drive

Farmington Hills, MI 48335

or

Attn: Closing Department

Phone: 248-286-3800

Fax: 248-286-3801

Please include a per diem rate for additional interest and tax information. If you have any questions, please contact BEST HOMES TITLE AGENCY at 248-286-3800 Thank you in advance for your cooperation in this matter. Signed:

(Seller)

(Seller)

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