Refinance Letter

Step 1 of 2

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Letter Of Authorization
Refinance Letter
Items with an asterisk (*) must be completed even with an “N/A” or “None
Property Address*
Street Address Address Line 2 City State ZIP Code
Please release payoff information to Clear Title, LLC 5301 Buckeystown Pike, Suite 310 Frederick, MD 21704
Name of Bank(s) or Mortgage Company(s) to be paid off is:*
Current Mortgage Information:
Lender Name Account # Customer Service Phone #
Name of Bank(s) or Mortgage Company(s) to be paid off is:
second mortgage or home equity line of credit to be paid off
Lender Name Account # Customer Service Phone #
Borrower’s phone number*
Borrower’s email address*
Enter Email Confirm Email
Social Security Number
Please Call the Office at 301-798-4939 to provide Social Security numbers.
*
- All Information is correct
Borrower’s Signature*
First Last
Date*
MM slash DD slash YYYY
Borrower’s Signature
First Last
Date
MM slash DD slash YYYY

PRIVACY POLICY NOTICE
Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about you with a nonaffiliated third party unless the institution provides you with a notice of its privacy policies and practices, such as the type of information that it collects about you and the categories of persons or entities to whom it may be disclosed. In compliance with the GLBA, we are providing you with this document, which notifies you of the privacy policies and practices of Clear Title, LLC. We may collect nonpublic personal information about you from the following sources: • Information we receive from you such as on applications or other forms. • Information about your transactions we secure from our files, or from our affiliates, or others. • Information we receive from a consumer reporting agency. • Information that we receive from others involved in your transaction, such as the real estate agent or lender. Unless it is specifically stated otherwise in an amended Privacy Policy Notice, no additional nonpublic personal information will be collected about you. We may disclose any of the above information that we collect about our customers or former customers to our affiliates or to nonaffiliated third parties as permitted by law. We also may disclose this information about our customers or former customers to the following types of nonaffiliated companies that perform services on our behalf or with whom we have joint marketing agreements: • Financial service providers such as companies engaged in banking, consumer finance, securities and insurance. • Non-financial companies such as envelope stuffers and other fulfillment service providers. WE DO NOT DISCLOSE ANY NONPUBLIC PERSONAL INFORMATION ABOUT YOU WITH ANYONE FOR ANY PURPOSE THAT IS NOT SPECIFICALLY PERMITTED BY LAW. We restrict access to nonpublic personal information about you to those employees who need to know that information in order to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.*
- Acknowledge

Lender Name	Account #	Customer Service Phone #

Lender Name	Account #	Customer Service Phone #

Refinance Letter

Step 1 of 2

Letter Of Authorization

Refinance Letter

Please release payoff information to Clear Title, LLC 5301 Buckeystown Pike, Suite 310 Frederick, MD 21704

Social Security Number

PRIVACY POLICY NOTICE