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LEVPROS PAYOFF AUTHORIZATION AND CONSENT FORM

This form must have COMPLETE INFORMATION in order for LevPros to accept the Seller-Conveyancing Request. Please call 877.277.6755 or email Orders@LevPros.com should you have any questions while completing this form. You can also activate a live chat with the LevPros Bot in the bottom right corner. ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
LevPros shall not use, publish, transfer, sell or otherwise disclose any confidential information gained by reason of this transaction for any purpose that is not directly connected with the performance of the services outlined hereunder except with the prior written consent of the individual who is the subject of the personal information.

AGENT INFORMATION

SELLER INFORMATION

Please provide full name
Please provide full name | Enter "N/A" if not applicable

SOCIAL SECURITY NUMBER INFORMATION

The information provided on this portal is secure. LevPros shall not use, publish, transfer, sell or otherwise disclose any confidential information gained by reason of this transaction for any purpose that is not directly connected with the performance of the services outlined hereunder except with the prior written consent of the individual who is the subject of the personal information.

MORTGAGE INFORMATION

Please use the fields below to provide all mortgage and/or home equity loan information. **Please note: If a Line of Credit or Home Equity Loan has been opened, that loan will appear on your Title Report even if NEVER USED and must be closed prior to or at settlement.**

OTHER LIENS

Please provide the name of the Association, Contact Person, Contact Number, and Contact Email
Please sign using your mouse cursor

SELLER AUTHORIZATION & ACKNOWLEDGEMENT

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