Payoff Request Form

Payoff Request Form
Open Notice

X

Notice to requestor:

Please obtain an updated payoff quote 48 hours prior to remitting funds as payments and escrow disbursements will cause the figures to change.

If the loan is established on autopay, we must receive a verbal cancelation request or payoff funds at least 3 business days prior to the draft date prevent the draft from occurring.

For questions, please contact Flat Branch Customer Service: 1-877-350-0350 or servicing@fbhl.com
Borrower Name

First NameLast Name
Loan Number
Property Address

Street Address

Street Address Line 2

CityState

Zip Code
Payoff Good Through Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearThis date should reflect when Flat Branch is expected to receive the payoff funds. We recommend adding additional days to allow for any unforeseen delays. Any over payment will be automatically refunded to the borrower following the payoff.
Reason for Payoff Request
Requestor Information
Requestor Name

First NameLast Name
Requestor Email Address
example@example.com
Borrower Signed Authorization

Browse Files

Cancelof
Requestor Company
Requestor Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Net Escrow (Flat Branch Internal Request Only)
Will any scheduled escrow items be paid at closing?
Scheduled escrow items to be paid at closing:
How do you want the payoff delivered
Email Payoff To:
example@example.com
Fax Payoff To:

Area CodePhone Number
Mailing Payoff To:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Area Sales Manager
Loan Officer
ASM
New Loan Number of New Purchase or Refi
Should be Empty:

Payoff Request Form

Notice to requestor:

Requestor Information