Pay-Off Express Assignment Bank Forms

AGMB Handles Mortgage Assignments for the Following Lenders:

Click on the bank name to find the forms

Fill out the form for the selected lender. Note that the fields marked with the red asterisk must be filled out in order to proceed and submit the form.
When you reach the bottom of the form, follow the instructions and use your mouse to provide your signature.
Check the box that appears next to the words “I am not a robot.” Click “Submit.”

Abrams Garfinkel Margolis Bergson, LLP

1430 Broadway • 17th Floor • New York, New York 10018 • P: 212-201-1170

225 Broadhollow Road • Suite 102 • Melville, New York 11747 • P: 516-986-2745 • www.agmblaw.com
Complete this form when requesting an Assignment of Mortgage
Bank Name
SELECT ONE Assignment Forms:
Property type is
This lender requires additional items for the request to be processed. In order to obtain the needed information please email: POE1@agmblaw.com
This lender requires additional items for the request to be processed. In order to obtain the needed information please email : POE2@agmblaw.com
Requestor’s Information
Requestor's First Name
Requestor's Middle Name
Requestor's Last Name
Firm’s Name
Requestor's Direct Phone Number
Email Address*
Closing Attorney Information
Closing Attorney's Name*
Closing Attorney's Firm Name*
Closing Attorney's Telephone*
Closing Attorney's Email Address*
Borrower Information
Borrower1s First Name*
Borrower1s Middle Initial
Borrower1s Last Name*
Borrower2s First Name
Borrower2s Middle Initial
Borrower2s Last Name
Borrower3s First Name
Borrower3s Middle Initial
Borrower3s Last Name
Property Address
Subject Property Street Number*
Subject Property Street*
Subject Property Apartment/Unit
Subject Property City*
Subject Property State*
Subject Property Zip*
Bank Loan Number*
New Lender Loan Information
Lender*
Full Address*
Record and Return Address
Record and Return Full Address*
NOTE: At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $500.00 is due to Banc of Califonia and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $1,500.00 is due to Envoy Mortgage, Ltd. and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $575.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $450.00 is due to Emigrant Mortgage Company and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. At closing an Assignment processing fee of $275.00 is payable to Fifth Third Mortgage Company. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $895.00 is due to First Republic Bank and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $750.00 is due to Flagstar Bank and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. At closing an Assignment processing fee of $650.00 is payable to Franklin American Mortgage Company. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
A processing fee of $1,250 (if the property is located in one of the boroughs) or $500.00 (if the property is located outside of the boroughs) is due to M&T and will be included in the payoff letter. A legal fee of $750.00 is payable at closing to Abrams Garfinkel Margolis Bergson, LLP at closing. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. At closing an Assignment processing fee of $750.00 is payable to Mr. Cooper in the form of a certified/bank check. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $950.00 is due to Pacific Union Financial and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $750.00 is due to Peapack-Gladstone Bank and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of 1% of the principal balance is due to Quontic Bank and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. At closing an Assignment processing fee of $500.00 is payable to Sterling National Bank in the form of a certified/bank check. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. At closing an Assignment processing fee of $1,500.00 is payable to Synovus Bank in the form of a certified/bank check. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
NOTE: At closing a legal fee of $1,000.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
NOTE: At closing a legal fee of $750.00 is payable to Abrams Garfinkel Margolis Bergson, LLP. An assignment processing fee of $2,000.00 is due to Webster Bank and will be added to the payoff letter. Transaction must close within 90 days or the file will be returned to Lender and additional fees may be charged to retrieve the file again.

Please accept this written authorization to order the original collateral documents for the referenced loan. Additionally, please follow all instructions of Abrams Garfinkel Margolis Bergson, LLP in ordering a payoff letter and ordering the original collateral documents.
Borrower1s Signature*
(Must be signed by borrower to process order)
Borrower2s Signature
(Must be signed by borrower to process order)
Borrower3s Signature
(Must be signed by borrower to process order)
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