HELOC Cancellation Request

Borrower First Name:

Borrower Last Name:

Loan Number:

Property Address:

City:

State:

Zip Code:

Is your mailing address different than the property address? Yes No

Mailing Address:

City:

State:

Zip Code:

What is the best way to get in touch with you? (check all that apply): Home Phone Work Phone Cell Phone Email Address

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Email Address:

THE UNDERSIGNED REQUEST THE HOME EQUITY LINE OF CREDIT BE CLOSED AND I/WE AGREE THAT I/WE WILL NO LONGER DRAW AGAINST THIS HOME EQUITY LINE OF CREDIT. I/WE HEREBY AUTHORIZE THE CLOSING OF THIS HOME EQUITY LINE OF CREDIT AND THE CANCELLATION/TERMINATION/RELEASE OF THE DEED OF TRUST AGAINST THE SUBJECT PROPERTY.

I/WE UNDERSTAND THAT THE HOME EQUITY LINE OF CREDIT WILL NOT BE CLOSED UNTIL UNPAID BALANCES (INCLUDING ALL APPLICABLE FEES) ARE PAID IN FULL.

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