DATE:
(Date Format : mm/dd/yyyy) |
|
Mortgage Company |
Fax (Fax Number: 555-555-5555) |
Phone (Phone Number: 555-555-5555) |
Re: |
and
Customer Name(s) |
|
Property Address:
|
Lender(s) Name/Loan #(s): |
| 1)
|
#
|
| 2)
|
#
|
You are authorized to release payoff information (including updates) on my loan(s)
listed above to Virginia Home Title & Settlements. Their phone number is
, their fax number is
.
Contact person is
. If your Company charges a fee for faxes, this letter is both acceptance and authorization of said fax fee.
For Lines of Credit, please freeze the loan amount to include only
obligations incurred or draws I have made prior to and including the
date of this letter. I agree to cease signing all checks and/or credit
cards and/or drafts.
This is also a notice that I intend to sell or execute a new mortgage on
the property. Under the laws of some States, future advances may be
subordinate to the rights of a new lender or buyer.
|
Electronic Signature |
Electronic Signature 2 (if necessary) |
My Contact Phone #: |
Daytime (Phone Number: 555-555-5555) |
Cell (Phone Number: 555-555-5555) |
|
Email |
|
Please select the office that should receive this authorization. |
|
|
|
| *** By electronically
signing this form, you are agreeing to the terms and conditions set
forth by Virginia Home Title & Settlements. *** |
| YOU WILL RECEIVE CONFIRMATION OF RECEIPT WITHIN 24 HOURS DURING BUSINESS HOURS MONDAY THROUGH FRIDAY (EXCEPT HOLIDAYS). |
|
