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 Digits of Social Security Number *

Type of Loan *

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 the expected payoff date?*

(This date cannot extend beyond 30 days)

How should we deliver your payoff information? *

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 *

Phone Number *

(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.

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.

There was an error submitting the form.

NoticeThis form requires Javascript be turned on for it to work. Please turn on Javascript and refresh the page if you would like to submit an online form. If you cannot turn on Javascript, we encourage you to contact your nearest branch location.

Thank you!

Someone will be in touch with you soon.