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 & Stein, LLP
430 Bedford Street, Suite 190
Lexington, MA 02420

Thank you.

_______________		_______________
		Social Security Number

_______________		_______________
		Social Security Number

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Kajko, Weisman, Colasanti & Stein, LLP

Lexington Office
430 Bedford St., Suite 190
Lexington, MA 02420
Phone: 781-325-1786 Fax: 781-861-1833
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Andover Office
68 Main Street, Suite 4
Andover, Ma 01810
Phone: 978-296-5107 Fax: 978-470-3874
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Kajko, Weisman, Colasanti & Stein, LLP Attorneys At Law www.massfirm.com

Based in Lexington, Andover, Massachusetts, we serve clients in the Greater Boston, North Shore, Metro West, Merrimack Valley, South Shore, and Cape and the Islands areas, including Boston, Burlington, Lowell, Lawrence, North Andover, Danvers, Brookline, Newton, Watertown, Somerville, Waltham, Framingham, Arlington, Worcester, Quincy, Plymouth and other communities in Norfolk County, Middlesex County, Essex County, Suffolk County, Worcester County, Plymouth County and Barnstable County.