Authorization to Release Mortgage, Escrow along with ALL pertinent information for payoff; 

This is to authorize our Mortgage lender, Condominium or Home owners association along with any other entities to whom we make lien payments to regarding Property below:

Please complete the form below (use one form per loan/mortgage),

Address of Property:

                                  

Please provide your account number:

                                  

Mortgage company:

                                  

Condominium or Home owners association:

Name:                       

Phone:                      

Owner information:

               Signature: ________________________________________________

Typed  
Social Security Number  

Co-Owners information:

              Signature: ________________________________________________

Typed  
Social Security Number  

Your Phone or e-mail:

                 

or, Print Page and return via information provided on Contact Information page

Drafted by Kevin Satterfield.
Copyright © 2003. All rights reserved.
Revised: 12/21/07