Trade In Payoff Request
Dealer Name
Dealer #
Street Address
City
State
Zip Code
This is a request to payoff the lien on and to Floorplan the following vehicle(s) per the Auto Use Loan
and Security Agreement.
The payoff amount may not exceed NADA clean loan value. In the event that the payoff amount is
greater than NADA clean loan value, one of the following will be required:
 I have enclosed a check to buy down the difference to NADA clean loan value.
 I authorize Auto Use to buy down the difference to NADA clean loan value via Automated Clearing
House (A.C.H.)
Vehicle Information
VIN Number
Year
Make
Model
Mileage
Title Number
Vehicle Owners Name
Vehicle Owners Account #
Lien Holder’s Name
Lien Holder’s Phone #
Lien Holder’s Street Address (No POB)
10 day payoff amount $
City
State
Payoff good until
Zip Code
Per diem amount $
This form must be accompanied by the following:
 Copy of title
 Original assignment of title and authorization of payoff
 Original bill of sale
 Odometer statement
 Payoff sheet from bank
 Copy of registration (if is an electronic title)
* Trade in must have occurred within 30 days.
By signing I authorize the release of the title(s) to Auto Use
__________________________________________________
Authorized dealer signature
Date
Please call or e-mail us if you have any questions:
978-482-4060 or [email protected]
October 2013
Please send all original documentation to:
Auto Use
c/o Floorplan Funding
45 Haverhill St.
Andover, MA 01810