Loan Payoff Request

Please use the form below to request loan payoff information.

* Required

Borrower Information

First Name *

Last Name *

Loan Account Number *

Last 4 Numbers of Social Security Number *

If the loan was for a mortgage, what is the property address?

Street Address

City

State

Zip Code

What is the reason for your payoff request? *

What is your expected payoff date? (this date cannot extend beyond 30 days) *

How should we deliver your payoff information? *

Email
US Mail

Are you the borrower? If not, indicate your relationship to borrower. *

Contact and Delivery Information

Requestor Name *

Requesting Company (if applicable)

Email Address *

Mailing Address *

City *

State *

Zip Code *

Contact Phone
(if we have questions or need confirmation) *

If you are not the borrower, you must provide an authorization from the borrower for United Bank to release this information.

Attach Authorization

By clicking Submit Form, I acknowledge that I am authorized to receive the payoff information requested either as the borrower or agent acting on behalf of the borrower.

Thank you for your submission. Someone will contact you within 2 business days.

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Loan Payoff Request

Borrower Information

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