Real Estate Seller Payoff Form

Real Estate Seller Payoff Form

1175 Revolution Mill Drive, Suites 7A and 8, Greensboro, NC 27405
Date

MonthDayYear
Date
Bank
Attention:
First Borrowers/Sellers Name

First NameLast Name
SSN
Second Borrowers/Sellers Name

First NameLast Name
SSN
Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Loan Number
PAYOFF DUE TO THE SALE OF PROPERTY – URGENT

I authorize the above bank/mortgage company to release payoff information as
requested regarding the above account to Revolution Law Group, and/or her representative, attorney, paralegal, staff or an employee of Revolution Law Group. If this account is an equity line, we authorize you to block further draws from the
account and to close the account, once the full payoff amount has been received.
Please fax or email payoff group through:
Signature

Clear
Authorized By:

First NameLast Name
Signature

Clear
Authorized By:

First NameLast Name
How would you like to be contacted moving forward?*

EmailTextPhone Call
Should be Empty: