10000 Stirling Rd #2 Cooper City, FL 33024 Phone 954-447-6947 Fax 954-447-6946 LIEN PAYOFF REQUEST FORM Title Company Name/Law Firm: Phone No: Fax No: Date: Requested by: Email: File No: Property Address: Folio No: 1st Lien/Case No: 1st Lien Type: 1st OR Bk/Pg: 2nd Lien/Case No: 2nd Lien Type: 2nd OR BK/Pg: Special Instructions: Name Title Date
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