Payoff Statement Form
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1
2Figure: 7 TAC §155.2(c)(6)
PAYOFF STATEMENT FORM
Name of Mortgage Servicer
REQUEST DATE:
01/01/01
Name of Representative
Street or E-mail Address
SENT BY:
Mail
E-mail
City, State, Zip Code
Fax
LOAN INFORMATION
LOAN INFORMATION
01/01/01
Primary Borrower
MORTGAGOR:
NEXT PAYMENT DUE DATE:
optional
Property Address or Legal Description
COLLATERAL:
Loan Type:
AMOUNT DUE
AMOUNT DUE
THIS STATEMENT REFLECTS THE TOTAL AMOUNT DUE UNDER THE TERMS OF THE
01/01/01
NOTE/SECURITY INSTRUMENT THROUGH THE CLOSING DATE WHICH IS
.
If this obligation is not paid in full by this date, then you should obtain from us an updated payoff
amount before closing.
Total Principal, Interest, and other amounts due under the Note/Security Instrument:
Unpaid Principal Balance:
$
Insert Amount
Interest through
$
Insert good through date
Insert Amount
Less Reductions in amount due
$
Insert Amount
$
Insert Amount
Insert Description
$
Insert Amount
Insert Description
$
Insert Amount
Insert Description
$
Insert Amount
Insert Description
Insert Amount
TOTAL AMOUNT DUE:
$
WHERE TO SUBMIT PAYOFF FUNDS
WHERE TO SUBMIT PAYOFF FUNDS
Attention
Beneficiary Name:
Beneficiary/Receiving Bank:
Name of Company
Beneficiary Bank ABA:
Street Address
Beneficiary Bank Account:
Special Information to Beneficiary:
City, State, Zip
Inc. ODI Text Information required
LEGAL NOTICES
TEXAS FINANCE CODE § 343.106 REQUIRES
ANY AMOUNT HELD IN ESCROW AT CLOSING
PAYOFF
STATEMENT
CONTAIN
CLOSING
WILL BE SETTLED IN ACCORDANCE WITH
DATE AND DATE THROUGH WHICH PAYOFF
APPLICABLE FEDERAL LAW.
AMOUNT IS VALID. THESE REQUIREMENTS
CANNOT
BE
DELETED
FROM
PAYOFF
STATEMENT.
TEXAS FINANCE CODE § 343.106 REQUIRES THE
IMPLEMENTING RULE TO ALLOW MORTGAGE
SERVICERS AT LEAST SEVEN (7) BUSINESS
DAYS FROM THE DATE OF RECEIPT OF
PAYOFF
REQUEST
TO
RESPOND
TO
A
REQUEST MADE UNDER THE STATUTE.
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