Authorization And Indemnity Affidavit For Mortgage Payoff - State Of New York
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1Authorization and Indemnity Affidavit
For
Mortgage Payoff
STATE OF NEW YORK
)
Title # ___________________
) ss:
COUNTY OF ______________________ )
The undersigned, being duly sworn, deposes and says:
1. I am the owner of the property known as _____________________________________________
2. I have been made aware of the balance due to satisfy mortgage(s) held by:
______________________________________________________________________________
______________________________________________________________________________
and believe this amount is correct.
3. I hereby designate The Great American Title Agency, Inc. as my agent to send the payoff funds to the lender. I
authorize the lender to send The Great American Title Agency, Inc. the satisfaction documents for recording.
4. I understand that in the event the lender claims the amount sent is insufficient, I am responsible for the balance
claimed due and will pay that money immediately at the request of The Great American Title Agency, Inc. or you
may take monies from my Escrow Account.
5. I hereby agree to indemnify and hold harmless The Great American Title Agency, Inc. from my loss or damage
that it may incur by reason of its agreeing to omit this/these mortgage(s) from its title policy.
6. I represent that my new address is:
______________________________________________________________________________
7. I make this affidavit knowing that The Great American Title Agency, Inc. will rely on the truth of its contents and
the promises I make herein.
Sworn to before me this
14
day of
20
Notary Public
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