
American LegalNet, Inc.
www.FormsWorkflow.com
Name(s) of Debtor(s): ______________________________________________
DETAIL: PAYOFF BALANCE OF FILED LIEN(S)
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
SUBTOTAL $
DETAIL: PAYOFF BALANCE OF LIEN(S) ISSUED (BUT NOT YET FILED PER OUR RECORDS)
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
SUBTOTAL $
Note: Release(s) will be issued within 10 days after we receive payment in full for the lien(s) and
we receive from the
Clerk/Recorders Office the recording references needed to prepare the release(s).
DETAIL OF PAYOFF BALANCE OF UNLIENED DEBTS
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
Reference Number _____________________________ Amount _________________
SUBTOTAL $
TOTAL $
Good Thru ____/____/____
Date of Search____/____/____
Search conducted by:
_____________________________
Make check payable to “Attorney General of Ohio”
and send to Collections Enforcement Section, Attn.
Payoff Staff, 150 East Gay St., Columbus, Ohio
43215.
The current balance due is available for viewing at
http://www.ag.state.oh.us. Account and CRN
numbers from the Attorney General letter are
needed to access the information. If an account is
assigned to special counsel attorneys, additional
fees may apply.
Indicate which debts on this sheet are being paid
and attach a copy of this sheet to the payment to
ensure that the correct accounts are credited.