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Real Estate Finance
Foreclosure / Bankruptcy
Commercial Litigation
Request for Payoff or Reinstatement Form
Contact Information
*
First Name:
MI:
*
Last Name:
*
Email:
Phone:
Fax:
Mortgagor Information
Loan Number:
First Name:
MI:
Last Name:
Address:
City:
State:
Zipcode:
Last 4 of SS#:
Property Information
**
Same as Mortgagor?
Y
N
Address:
City:
State:
Zip/Postal Code:
Attorney Information
First Name:
MI:
Last Name:
Address:
City:
State:
Zipcode:
Phone:
Other Information
Requesting Figures Good Through Date:
Request Type:
Payoff
Reinstatement
*
indicates a required field.
**
If requestor is not the mortgagor, the request will not be completed without the mortgagorās authorization.
Untitled Document
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Druckman Law Group PLLC