Payoff Request Form

Instructions:

  1. Complete this form  PAYOFF-REQUEST-FORM.
  2. Print or save the form if sending it via email.
  3. Please submit this payoff request either by U.S. Postage Paid, First Class Mail; Fax or electronic mail.
  4. If submitting by email, please email to: Jackie@DDAlawoffice.com
  5. If payoff request is sent by Fax or Email, please note that lien certification will not be Issued until payment of fee has been received.

Fee for lien certification is $15.00 PER PARCEL.

Please make check payable and mail to:     Dimmich, Dinkelacker & Anewalt, P.C.  2987 Corporate Court, Suite 210. Orefield, PA  18069