Payoff Request Authorization - Signature Title Services

Payoff Request Authorization

In order to allow Signature Title Services, LLC to request payoff information from your lender(s), you must complete, sign and Fax us a Payoff Request

Authorization form for each mortgage. Use the form on page 2 for each lender. Once completed please sign and fax to 800-594-5810.

If you have any questions please call, 615-724-7100.

Payoff Request Authorization

(Please complete one of these authorizations for each mortgage or line of credit)

I/We, _________________________________________________________, do hereby authorize Signature Title Services, LLC to request my payoff statement for this loan. Please honor their request for a faxed statement to be sent immediately to the fax number provided.

Property Address: Lender Name: Loan Number: Lender Phone: Borrower Name(s): Social Security:

_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Signed: ____________________________________ Name:_______________________________

____________________________________ Name:_______________________________

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