Transcription of AMD Payoff Request Form - Arvest
1 Payoff Request DATE OF Request :_____ REQUESTER S NAME:_____ COMPANY NAME: _____ PHONE#: _____ FAX#: _____ EMAIL: _____ CUSTOMER NAME AND/OR SS#: _____ LOAN NUMBER: _____ PROPERTY ADDRESS: _____ _____ REASON FOR Payoff : SOLD, REFI W/ Arvest , REFI W/OTHER INSTITUTION, OTHER: DATE OF Payoff : Please fax information, along with customer written authorization, to Arvest Bank Mortgage Division at 479-757-8922. A convenience fee may be assessed for any Payoff statement sent via fax. PO BOX 399 * LOWELL, AR * 72745-0399 * (800) 232-5524 * FAX (479) 757-8922 *
