PAYOFF REQUEST
DATE OF REQUEST:__________________________________________
REQUESTER’S NAME:________________________________________
COMPANY NAME: ___________________________________________
COMPANY PHONE NUMBER: _________________________________
COMPANY FAX NUMBER: ____________________________________
CUSTOMER NAME OR SS#:____________________________________
LOAN NUMBER: _____________________________________________
PROPERTY ADDRESS: ________________________________________
REASON FOR PAYOFF: SOLD, REFINANCE, OTHER:
_______________________________
DATE OF PAYOFF: ___________________________________________
Please fax information, along with customer written authorization, to Arvest Central
Mortgage Company at 501-716-5763.