Masshousing Payoff Request Form – Fill Out and Use This PDF

Payoff Request Form

IN ADDITION TO THIS PAYOFF REQUEST FORM, A BORROWER’S SIGNED AUTHORIZATION IS REQUIRED IN ORDER FOR MASSHOUSING TO PROVIDE A PAYOFF STATEMENT TO A THIRD PARTY.

DATE: _____________________________________________________________________________________

TO: MassHousing ___________________________________________________________________________

FAX #: (617) 722-0686 _______________________________________________________________________

FROM:_____________________________________________________________________________________

COMPANY NAME: ___________________________________________________________________________

PHONE NUMBER: ___________________________________________________________________________

ACCOUNT / LOAN NUMBER: ___________________________________________________________________

SOCIAL SECURITY NUMBER: ___________________________________________________________________

CUSTOMER’S NAME: _________________________________________________________________________

_________________________________________________________________________

PROPERTY ADDRESS: _______________________________________________________________________

________________________________________________________________________

PAYOFF DATE: ______________________________________________________________________________

(Must be no earlier than 2 business days and no more than 30 days from the date of request)

฀Other, Please specify: _______________________________________________________________________

SEND PAYOFF STATEMENT:

Please select one of the options below:

MassHousing’s turnaround time for providing payoff figures is two (2) business days.

Rev. 4/10/07