The Law Office of Russell C. Petersen, LLC
303 Jesse Jewell Parkway SE, Suite 100
Gainesville, GA 30501
Gainesville:
678-862-0810
Duluth:
678-862-0680
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Payoff Authorization Form
In order to allow The Law Office of Russell C. Petersen to request payoff information from your lender(s), you must complete, sign and fax/email us a Payoff Request Authorization form for your existing mortgages. Use the form below to create a Payoff Request Authorization Form.
Property/Our File Information
Re: (Address)
City:
*
*
State:
*
Zip:
Our File #:
*
Existing Mortgage Lender(s)
Lender/Payoff 1:
Lender Name:
*
Loan #:
*
Lender/Payoff 2:
Lender Name:
Loan #:
Lender/Payoff 3:
Lender Name:
Loan #:
Borrowers
Borrower 1 Name:
Borrower 1 SSN:
Borrower 2 Name:
Borrower 2 SSN:
Please review your submission. If all the information is correct, press the "Generate Payoff Authorization Request" button.