PAYOFF REQUEST AUTHORIZATION

DATE: ______________________________

TO: _____________________________

_____________________________

RE: LOAN NO _________________________

I/We _________________________________ owners of property mortgaged by loan

listed above, hereby authorize and direct you to send/fax a payoff letter for our loan to:

JBN TITLE SERVICES, INC., Attn: Closing Dept.

Please make payoff good through ___________________________.

Thank you for your cooperation.

Sincerely,

______________________________ ______________________________

SS# SS#

cc: JBN TITLE SERVICES, INC.

7800 N. SOMMER ST., SUITE 425

PEORIA, IL 61615-1994

PHONE: (309) 691-9650