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We attest that we have a legitimate business need for a judgment payoff for the following :

Debtor:

Address:

Social Security Number :

Date of birth:   

Creditor/Keller & Keller's  client:

Any identifying information about judgment, such as, case number,court where judgment was obtained, title of Court , face amount of judgment:

Caption of case:

Reason for request:

Anticipated date of  payoff:

How record is to be forwarded:

Your name:

Name of  your business entity:

Address:

Phone numbers:

Date of request:


In the alternative, you can use the comment section under  Demand Letter section to make your request for payoff information if you tailor your request with the information requested above.