Payoff Authorization Form Please enable JavaScript in your browser to complete this form.For our use in obtaining your final payoff statement for your current loans.Subject Property AddressYour NameSocial Security NumberCurrent Mortgage Lender #1Phone NumberLoan Account NumberDate of last paymentCurrent Mortgage Lender #2Phone NumberLoan Account NumberDate of last paymentSecured Property AddressToday's DateI hereby authorize Tallman Law Associates, PC, to obtain a mortgage load payoff figure for my mortgage loan(s).Signature Clear Signature MessageSubmit