SUMMIT TITLE COMPANY ____________________________________________________________________________________________________
	Please Print This Form and Fax or Mail it, with appropriate signatures, to Summit Title Company.  Press the "Back" button on your browser to go back to the "Order Title" page. PAYOFF AUTHORIZATION FORM The Undersigned authorizes Summit Title Company to receive any payoff information with regard to my/our loans. x__________________________________________ Soc. Sec. #___________________ x__________________________________________ Soc. Sec. #___________________ All communications are held in the strictest confidence.
		40 W. Chesapeake Avenue Suite 502, Lafayette Building Baltimore, Maryland 21204 410-583-5353 410-583-5375 (fax)