• Abrams Garfinkel Margolis Bergson, LLP


    1430 Broadway · 17th Floor · New York, New York 10018 · P: 212-201-1170 · F: 212-201-1171 · www.agmblaw.com 
    225 Broadhollow Road · Suite 102 · Melville, New York 11747 · P: 516-986-2745 · F: 631-396-0770


  • Complete this form when requesting an Assignment of Mortgage from First Republic Bank to another lender.

  • Requestor’s information:

  • First Name*
  • Middle Name*
  • Last Name*
  • Suffix*
  • Street Number*
  • Street Address*
  • APT/UNIT*
  • City*
  • State*
  • Zip Code*
  • Closing Attorney’s information:

  • Borrower information:

  • Borrower(s) First Name*
  • Borrower(s) Middle Name*
  • Borrower(s) Last Name*
  • Borrower(s) Suffix*
  • Property Street Number*
  • Property Street Address*
  • Property APT/UNIT*
  • Property City*
  • Property State*
  • Property Zip Code*
  • Loan information:

  • New Lender loan information:

  • Record/Return Street Number*
  • Record/Return Street Address*
  • Record/Return APT/UNIT*
  • Record/Return City*
  • Record/Return State*
  • Record/Return Zip Code*
  • NOTE: Axos Bank charges an Assignment fee of $895.00, the Assignment fee is due at closing and will be included in the final payoff letter. 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.

  • (Must be signed by borrower to process order)
  • (Must be signed by borrower to process order)