Refinance Authorization

Settlement cannot be scheduled until this information is received in our office.
Refinance Authorization to Release Information
I/We hereby authorize Melissa A. Harrison, Attorney at Law, or her representatives, to obtain any payoff balance information regarding any Mortgages or Judgments that may be filed regarding my upcoming closing.

First Party

MM slash DD slash YYYY
Address Verification

Second Party

MM slash DD slash YYYY
Address Verification
Marital Status

If you currently make payments on your home to a bank and/or any other creditor/lender or have a Home Equity Loan, please provide: name of your bank, account number, and the bank's or lender's phone number and/or phone number or loan officer.

Is there currently a mobile home on the property?
If yes, please return a copy of the title to the mobile home.
Has a survey been done on the property?
If yes, please return surveyed legal description.
Max. file size: 256 MB.