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They Finance Operations Manager Kimberley A. Sawdy JON M. WAAGE Standing Chapter 13 Trustee Middle District of Florida Tampa/Fort Myers Divisions Systems Administrator Troy Carrell Staff Attorneys Kimberly McIntyre Michael Cecil Sarah Olsen PAYOFF REQUEST FORM Use this form to request an exact payoff from the Trustee for a confirmed Chapter 13 case. Please fax this request to 941 345-1248 or mail to P. O. Box 25001 Bradenton FL 34206-5001. All requests for payoff will also require a written explanation of the source of the funds used to pay off the case. The explanation must be submitted with this form and will be subject to the Trustee s approval* Debtor Case Number Send payoff amount to Attn Address Phone Fax Check this box if you are requesting a payoff excluding any allowed pre-petition mortgage arrears and/or real property taxes that are being paid through the debtor s confirmed plan* Be advised that you must provide the Trustee with documentation which shows that the creditor has been paid in full outside the Plan* i*e* the closing documents NOTE If this request is from a Mortgage Company you must include a copy of the signed borrower s authorization* Without this documentation your request will not be processed* Mail payments to P. O. Box 260 Memphis TN 38101-0260 Correspondence address P. O. Box 25001 Bradenton FL 34206-5001 Telephone 941 747-4644 Toll Free 1-800-248-2075 Facsimile 941 750-9266 Trustee Website www. Please fax this request to 941 345-1248 or mail to P. O. Box 25001 Bradenton FL 34206-5001. All requests for payoff will also require a written explanation of the source of the funds used to pay off the case. The explanation must be submitted with this form and will be subject to the Trustee s approval* Debtor Case Number Send payoff amount to Attn Address Phone Fax Check this box if you are requesting a payoff excluding any allowed pre-petition mortgage arrears and/or real property taxes that are being paid through the debtor s confirmed plan* Be advised that you must provide the Trustee with documentation which shows that the creditor has been paid in full outside the Plan* i*e* the closing documents NOTE If this request is from a Mortgage Company you must include a copy of the signed borrower s authorization* Without this documentation your request will not be processed* Mail payments to P. The explanation must be submitted with this form and will be subject to the Trustee s approval* Debtor Case Number Send payoff amount to Attn Address Phone Fax Check this box if you are requesting a payoff excluding any allowed pre-petition mortgage arrears and/or real property taxes that are being paid through the debtor s confirmed plan* Be advised that you must provide the Trustee with documentation which shows that the creditor has been paid in full outside the Plan* i*e* the closing documents NOTE If this request is from a Mortgage Company you must include a copy of the signed borrower s authorization* Without this documentation your request will not be processed* Mail payments to P. O. Box 260 Memphis TN 38101-0260 Correspondence address P. O. Box 25001 Bradenton FL 34206-5001 Telephone 941 747-4644 Toll Free 1-800-248-2075 Facsimile 941 750-9266 Trustee Website www.

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