Borrower’s Authorization Form Borrower's Authorization Form I/We, hereby grant written authorization to fax a payoff to Home Towne Settlement Services, LLC at 270-678-5501 or email to stephanie@hometowne.net regarding the mortgage payoff for property located below: Loan Number: * Lender Name: * Payoff Good Thru: * Date * Name * Name First First Last Last Signature * signature keyboard Clear plus1 Add minus1 Remove SSN * If you are human, leave this field blank. Submit