SIGNATURE ESCROW & TITLE SERVICES, LLC
PAYOFF REQUEST / AUTHORIZATION
To ensure your closing will proceed smoothly, please complete both the Seller Form and the Payoff Request Authorization Form
(if applicable). You may mail, fax to us at (603) 431-1879 or scan and email the completed form to [email protected].
Please print.
Name(s):__________________________________________________________________________________
Unmarried / Married / Civil Union (Please Circle)
Property Address:___________________________________________________________________________
1st Mortgage
Lender Name:______________________________________________________________________________
Account Number:_____________________________ Business Phone:(___)____________________________
2nd Mortgage (such as home equity line of credit)
Lender Name:______________________________________________________________________________
Account Number:_____________________________ Business Phone:(___)____________________________
Please be advised that the home equity account will no longer be in existence and that any attempt to retrieve funds from the
account will be considered theft and reported to the proper authorities.
I/We hereby give Signature Escrow & Title Services, LLC authorization to obtain any necessary payoffs or insurance
information.
Signature:__________________________________________________________________________________
Social Security or Tax ID Number:_____________________________ Date:______________________________
Signature:___________________________________________________________________________________
Social Security or Tax ID Number:_____________________________ Date:______________________________
PLEASE NOTE: When paying off an FHA loan, interest is calculated through the entire month in which the loan is being paid.
There is a $45 discharge processing fee for the first lien payoff and $25 for each additional payoff/discharge.