To Whom It May Concern:

     Kindly accept this letter as your authorization to release to American Search and Settlement your written mortgage payoff statement on my account(s):

Borrower(s) Name(s): ______________________

SS#                              ______________________

Borrower(s) Name(s): ______________________

SS#                              ______________________

Property Address:        ____________________________________________

                                       ____________________________________________

Date: ___________                ______________________________

                                                   (Signature)

                                                   ______________________________

                                                   (Signature)