Ph (407) 629-9077 Fax (407) 339-8940 341 N. Maitland Ave. Ste 290, Maitland, FL 32751

PRIVATE MORTGAGE PAYOFF

To: Title Source USA, Inc.

From: _________________________

Phone# ____________________________

RE: Mortgagors:__________________________________________________________ Property Address:______________________________________________________

Recording Info: County:______________________O.R. Book:____________________Page:_________________________Date: ________________________

Dear Sirs,

Please accept the following letter as a payoff for the above mentioned mortgagors

Payoff balance good through___/___/_____ _____________________________Insert Date

Interest per day thereafter _____________________________

Late fees due (if any) _____________________________

Other fees due (if any) _____________________________

Next payment due: _____________________________

Please send the payoff check to : _____________________________

_____________________________

_____________________________

Signed: ____________________________ Signed: ____________________________

NOTE: MUST BE SIGNED BY ALL MORTGAGE HOLDERS

Thank you for your assistance. Please fax the completed form to 407-339-8940 as soon as possible.