Authorized Agent - Payoff Request

All inquiries surrounding the collection of your delinquent account should be made in writing. In an effort to assist you, this form may be utilized by you to request a payoff/estoppel figure. Please read the entire form and provide all necessary information so that your request may be properly processed.

This law firm is deemed a "debt collector" under the Fair Debt Collection Practices Act. We are attempting to collect a debt, and any information obtained will be used for that purpose.

Your Contact Information

Name*:

Mailing Address*:

City*:

State*:

Zip Code*:

* Required Fields

Work Phone:

Cell Phone:

Fax Number:

Email:

In addition to mail, please indicate how else you would like to receive the requested information?

Email

Fax

Property Information

Unit Owner*:

Association Name*:

Property Address*:

Unit Number:

City*:

State*:

Zip Code*:

Comments/ Questions:

By clicking on the Submit button below, I hereby request a Written Estoppel (Payoff) Figure. I understand that my request will be processed within 10-15 business days and that a written estoppel letter will be provided to me by mail at the address appearing above. I understand that I will be charged for the preparation and mailing of the requested written estoppel letter and that the payoff figure provided in the written estoppel letter I will receive shall take the place of any previous payoff information provided to me. I hereby acknowledge that Bakalar & Associates does not represent me in this or any other legal matter, and has provided no legal advice to me regarding same. If I have questions of a legal nature surrounding the collection of my account, I must contact my own attorney.

Pursuant to Florida Statute 718.116(8) and Florida Statue 720.303(5)(d), Bakalar & Associates, PA has fifteen (15) days from the date of receipt of an estoppel request to provide the requested information.

If you are requesting an expedited payoff, please advise of same in the comment section provided and state the nature and reason that the payoff information is needed on an expedited basis and we will attempt to fulfill your request.

Bakalar & Associates, P.A. may be deemed a debt collector under the Fair Debt Collection Practices Act (FDCPA) and any information obtained may be used for that purpose.