Laserfiche WebLink
MORTGAGE AUTHORIZATION <br /> This form must be completed and signed by the property owner(s),whether a mortgage exists or not. <br /> Form must be filled out completely, signed and submitted to the <br /> Right of Way Division/Administrative Section immediately following first contact. <br /> Job# <br /> Tract# <br /> Property Owner: <br /> Address: <br /> Telephone#: <br /> Mortgage Company <br /> (If no Mtg.write NONE)- <br /> Address: <br /> Telephone#: <br /> Loan#: <br /> Contact Person: <br /> Due to the construction of the above-mentioned project, it may be necessary to obtain a Release. The <br /> mortgagor/property owner(s) is/are aware that some or all the proceeds from this transaction may be required to <br /> be applied towards the principal balance of the mortgage. <br /> By signing below,Mortgagor/Property Owner(whether one or more) is authorizing the Arkansas Department of <br /> Transportation to enter into the process necessary to obtain a Release and furthermore authorizes lender to <br /> release the information requested. <br /> The following closing agent(s) have authorization to request information and/or documentation necessary to <br /> obtain a release. <br /> Closing Agent: Closing Agent: <br /> Phone#: Phone#: <br /> Must sign even if you do not have a MortQaPe <br /> Date: Date: <br /> Property Owner Property Owner <br /> Date: Date: <br /> Property Owner Property Owner <br />