ࡱ> egd#` bjbj 4&qx```8$I$OOO#######$$hg'#-"O#Q$R##b" !bC1`#$0I$/(/(/(OvTD]OOO##2jOOOI$ <$< Payoff Request Letter M.G.L. c.183, 54D CLOSING ATTORNEY'S LETTERHEAD Date Name of Mortgagee, Servicer or Note Holder Address of Mortgagee, Servicer or Note Holder RE: Payoff Request Letter M.G.L. c.183, 54D Borrower Name(s): Mortgagee, Servicer or Note Holder: Mortgage Account No.: Property Address: Payoff Date: Dear Sir/Madam In accordance with Massachusetts General Laws Chapter 183, Section 54D, please consider this correspondence a formal authorization (see Borrower Authorization attached) and request to issue a written pay-off statement relating to the above referenced account to this office within five (5) business days of receipt of this notice. Kindly fax or email said pay-off statement directly to: Attn: Attorney or Paralegal Name Law Firm Law Firm Street Address Law Firm City, State, Zip Phone: Fax: Email: As required by M.G.L. c. 183, 54D, said pay-off statement: (i) shall be sufficient to enable our office to conclusively make full payment of the outstanding indebtedness under the mortgage note or other financial obligation as of the payoff date specified above (which is no more than thirty (30) days from the date of the request); (ii) shall specify an amount certain which, as of the payoff dated specified above, will pay off any and all indebtedness secured by the mortgage; (iii) shall include the specific amount of any additional payment that may be due or a specific formula or method for calculating the specific amount that may be due, such as by reference to a per diem amount, in the event the payoff is received later then the payoff date requested above; (iv) may condition the payoff amount, or any additional amount due, on any escrow or other disbursements that the Mortgagee, Mortgage Servicer or Note Holder may be permitted or required under the terms of the mortgage to make between the payoff date above and 30 days thereafter; provided, that the payoff statement shall specify the nature, amount and anticipated payment date for the disbursements, if known or reasonably ascertainable; (v) may impose a time limitation on the validity of the payoff statement of no less than 30 days from issuance. Please be advised that, pursuant to M.G.L. c. 183, 54D(f), one (1) payoff statement may be requested without charge during any six-month period; the Mortgagee, Mortgage Servicer or Note Holder may charge a reasonable fee for any additional payoff requests within such six-month period. Please advise immediately if any other payoff requests relating to this same loan have been made to you within the last six months, whether you intend to charge for the payoff statement requested by this letter and, if so, what the charge will be. Please be advised, also, that the Mortgagee, Mortgage Servicer or Note Holder responsible to provide the requested payoff statement who, without reasonable cause, fails to provide a timely payoff statement as required by M.G.L. c. 183, 54D(e), may be liable to the mortgagor for the greater of $500 or the mortgagors actual damages caused by the failure, plus reasonable attorneys fees and costs. Finally, to the extent that funds are held in escrow for taxes and/or insurance, please provide a statement of the amount presently held in escrow, and whether such funds will be netted against the payoff or returned to the borrower at a later date. Very truly yours, Attorney Name Enclosure: Borrower Authorization Note: For the purpose of this form the term mortgagee shall mean the original mortgagee or a record successor or a successor thereto by operation of law of pursuant to M.G.L. c. 183 55(i). (11-13-2007) REBA Form No 40      Real Estate Bar Association for Massachusetts (11-13-07) +,KLQR  M  ] g h stORV^+,U016abBCH_mR]ҽүҨҡҡҽҡҡҡҡҡҡҨҒhRr huhjhv:hj6 hv:hj hbjhjjhjUmHnHuhuhj6 hj5hbjhj5hjhbjhj6h19vhj6 hj6hvhRr5hrhj5CJaJ6+,JKLQR}  + ? M N ] ^ $a$gdj`gdj ^`gdj$a$gdjgdj$a$gdrq   . 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