Authorization for Payoff
PO Box 492395, Redding, Ca 96049
530.222.6060 | 800.303.3838 | membersonline.org
To:
Date:
Re:
Year/Make/Model:
Vin #:
Acct. #:
Amount:
The above recipient authorize you to accept from Members 1st Credit Union the payoff due on the above account no. in the
amount stated above being the balance due on my account and you are instructed upon receipt of the above amount to surrender
to them the Documents of Title, properly endorsed and release.
Please release title to:
Members 1st Credit Union Q38
Po Box 492395
Redding, CA 96049
Members 1st Credit Union participates in California’s Electronic Lien Titling Program (ELT). Please complete the legal owner
name, address and ELT #Q38 as shown above.
If you have any questions, please contact us at (800) 303-3838 Ext 459.
Debtor Name (Printed)
Debtor Signature
Date
Debtor’s Address
CR - 11/15