Mortgage Payoff Request Authorization

MORTGAGE PAYOFF REQUEST AUTHORIZATION

To:_______________________________________________________________
(Bank or Lending Institution)

Lender's Address:___________________________________________________

Lender's Telephone No.:______________________________________________

Account No.:_______________________________________________________

Re:_______________________________________________________________
(Address of Mortgaged Property)

Anticipated Payoff Date:______________________________________________

Please consider this a formal authorization and request for pay-off figures relating to the above referenced mortgage. Please provide the mortgage pay-off figures directly to:

Kajko, Weisman & Colasanti, LLP
430 Bedford Street, Suite 190
Lexington, MA 02420

Thank you.

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 Social Security Number
   
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 Social Security Number