AmSouth Bank Home Equity Line of Credit Payoff Request Form

Regions Bank Home Equity Line of Credit Payoff Request Form

Instructions

1. PRINT AND FILL OUT THIS FORM

Please complete all relevant sections of the Payoff Request form.

2. SIGN

Please remember to sign your Payoff Request form. We cann

ot process your Payoff

Request without your signature.

3. SEND YOUR COMPLETED PAYOFF REQUEST FORM TO REGIONS BANK

You can fax your completed Payoff Request form to 205-560-5845 or mail it to:

Regions Bank Consumer Loan Center

Attn: Satisfaction Clerk

2050 Parkway Office Circle, RCN-5

Birmingham, AL 35244

4. QUESTIONS?

Call 1-800

-231-7493.

Regions Bank Home Equity Line of Credit Payoff Request Form

Checking one of the following options will indicate that the account will be closed and satisfied

upon receipt of the payoff amount in immediately available funds and no future advances will be

allowed. Regions will place a temporary hold on the account blocking the payment of checks,

cash advances or credit card transactions associated with the account*.

Refinance First Mortgage Selling Home Paying balance to zero /closing account

If you want a verbal quote to bring the line of credit to zero but still keep the account open please

call 1-800-231-7493. Written quote processing turn around time is 24 – 48 hours.

*The payoff quote will be subject to any transactions that have not posted at the time the quote is

given, any preauthorized transactions, and any check or other payment made on the account that

is returned unpaid or is rejected or reclaimed for any reason. Regions reserves the right to adjust

the payoff amount accordingly. If the account has not been paid in full within 10 days after

the “good thru” date on the Payoff Statement, the hold on the account may be removed.

CCOUNT INFORMATION

CCOUNT NUMBER:

USTOMER NAME:

OCIAL SECURITY NUMBER: ---- ----

TREET ADDRESS:

ITY: STATE: ZIP:

HONE NUMBER: ( ) ----

EQUESTED “GOOD THRU” DATE (Maximum 15 days) / / __________

CLOSING AGENT INFORMATION (If this information is completed, we will provide the Payoff

Statement to the Closing Agent)

GENT NAME:

TREET ADDRESS:

ITY: STATE: ZIP:

HONE NUMBER: ( ) ---- FAX NUMBER: ( ) ----

ENDER NAME: PHONE NUMBER: ( ) ----

Payoff request will not be processed without the customer’s signature or an attached borrower’s

authorization form signed by the customer.

If a faxed payoff quote is desired, a $10.00 fee will be charged. By requesting a faxed payoff

quote and signing below, you agree to pay this charge. This fee will not be charged for property

located in Louisiana, Tennessee, Missouri, Indiana, or Virginia. There is no fee or charge for mailing a

payoff quote. If the quote is mailed, please allow up to seven days for delivery.

Check One: Fax Mail Fax completed request to: 205-560-5845

Customer Signature: ____ _ ______________________

PLEASE PRINT PLEASE SIGN

If agent signs for customer here, a borrower’s authorization

must be attached.

Regions Bank Home Equity Line of Credit Payoff Request Form

Information for paying account off

You may make the payoff at a local branch. You can simply go through the Teller line. The payoff

letter should accompany payoff check.

If you are mailing a payoff check, send to:

Regions Essentialine

P.O. Box 1984

Birmingham, AL 35201

Please include the payoff statement with the check.

If you are forwarding the payment overnight send to:

Regions Bank

201 Milan Parkway

Birmingham, Al. 35211

Wiring Instructions:

Regions Bank

Birmingham, AL

Routing Number: 062005690

Attn: Bankcard Department Lakeshore Operations, ALBHMOPL03

Purpose of wire: Equity Line Payment or Pay down

Please also provide customer’s name and account number

If you requested a quote more than 7 days before the expected payoff date, then please

request an updated quote on the day you plan to pay the account off.

The payoff quote will be subject to any transactions that have not posted at the time the quote is

given, any preauthorized transactions, and any check or other payment made on the account that

is returned unpaid or is rejected or reclaimed for any reason. Regions reserves the right to adjust

the payoff amount accordingly.