Leo’s Vacation Center Loan Payoff Authorization

Leo’s Vacation Center Payoff Request

729 State Route 3 North
Gambrills, MD 21054
Phone: 410-987-4793

Borrower:

S.S#:

Co-Borrower:

S.S#:

Address:

Year/Make/Model:

Vehicle Identification #:

Account#:

Dealer Name: Leo's Vacation Center, Inc
729 MD RT 3 N
Gambrills, MD 21054

Dealer Phone# 410-987-4793

Dealer Fax# 410-923-1505

I hereby authorize (lienholder) to immediately release loan payoff information to the above referenced dealer. Please quote payoff for and provide a per diem. Fax the payoff to the dealer at the above fax #.

Borrower Signature:

Co-Borrower Signature:

Email *

(name@email.com)

By submitting this application, I/We certify that the submitted information is complete and accurate to the best of my/our knowledge. I/We understand and approve any inquiries regarding my/our credit record and employment history by the financial institution(s). I/We authorize the release of information about my/our credit experience.