The Ohio Payoff form is a document used to request information about debts owed to the State of Ohio, particularly those certified for collection by the Attorney General. This form is typically completed by realtors or title companies and serves as a crucial step in clearing liens on properties during transactions. Understanding how to properly fill out and submit this form can streamline the process of obtaining payoff information and ensure compliance with state requirements.
The Ohio Payoff form is an essential document for individuals and businesses seeking to settle debts owed to the State of Ohio. This form facilitates communication between debtors and the Collections Enforcement Section of the Attorney General's office. By completing the form, debtors grant permission for the release of information regarding their debts, including any liens that may be associated with them. It is typically filled out by realtors or title companies, ensuring that all necessary details are captured for a thorough search of the debtor's records. Key elements of the form include the debtor's full name, mailing address, tax identification numbers, and any relevant property details. Additionally, the form outlines the process for obtaining payoff information, which includes the balances of filed liens, debts that have been issued but not yet filed, and any unliened debts. This structured approach not only streamlines the payoff process but also helps ensure that all parties involved have a clear understanding of the financial obligations at hand.
COLLECTIONS ENFORCEMENT SECTION
150 E. Gay St., 21st Fl.
Columbus, OH 43215
Telephone: (614) 466-8360
www.ag.state.oh.us
REQUEST FOR PAYOFF INFORMATION [to be completed by realtor or title company]
TO:
COLLECTIONS ENFORCEMENT SECTION, ATTORNEY GENERAL OF OHIO
FAX NO. 614-644-7106
FROM:
________________________________________________________(NAME)
________________________________________________________(MAILING ADDRESS)
________________________________________________________
FAX NO. ________________________________________________
DATE:
___________________
CONSENT BY INDIVIDUAL(S):
I/we,
, give the Attorney General of Ohio permission to release to
:(1) information related to debts I/we owe the State of Ohio which have been certified to the Attorney General for collection; and (2) document(s) which effect a release of lien(s) related to those debts.
Signed:
Dated ____________________
CONSENT BY CORPORATION, PARTNERSHIP, OR OTHER BUSINESS ENTITY:
, by its
, gives the Attorney General of Ohio
(name of company)
(title)
permission to release to
: (1) information related to debts it owes the State of Ohio
which have been certified to the Attorney General for collection; and (2) document(s) which effect a release of lien(s) related to those debts.
Signed:Dated ____________________
SEARCH CRITERIA
____________________________________________________________________________________________
Full Name(s) of Debtor(s)
dba(s),fka(s),etc.
____________________________________
_____________________________________________________
Current Mailing Address
Property Address
City, State, Zip
Current Telephone Number(s):___________________________________________________________________
Tax ID & Social Security Number(s):_______________________________________________________________
Assessment Serial Number(s):
__________________
BWC Risk/Policy Number(s)
Additional information which might facilitate the search [note: attaching copies of recorded liens or a summary of the title search is helpful but not required]:
RESPONSE TO REQUEST FOR PAYOFF INFORMATION
[top portion to be completed by realtor or title company]
_____________________________________________________________(NAME)
__________________________________________________(MAILING ADDRESS)
________________________________________________
FAX NO. ________________________________________
RE:
Name(s) of debtor(s): ________________________________________________
____________________________________________________________________
Tax ID & SSN(s): _____________________________________________________
Risk No(s): _________________________________________________________
[this portion to be completed by Collections Enforcement Section]
We have conducted a search of our records based on the search criteria provided. As set forth below, we have located liened and unliened debts certified to the Attorney General for collection. Please be advised that : (1) praecipes issued to the clerk on pending liens may be filed by the time of closing; (2) any currently unliened debts may be liened by the time of closing; and
(3) additional certified and uncertified debts may exist which were not located during our search.
Payoff Balance of Filed Lien(s)
$
(see attached detail)
Payoff Balance of Lien(s) Issued (but not yet filed per our records)
Payoff Balance of Unliened Debts
Total
Payoff 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., 21st Floor, Columbus, Ohio 43215. All tax identification numbers and risk numbers noted on the attached detail must accompany the payment to ensure that the correct accounts are credited.
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.
American LegalNet, Inc.
www.FormsWORKFLOW.com
Name(s) of Debtor(s): ______________________________________________
DETAIL: PAYOFF BALANCE OF FILED LIEN(S)
Reference Number
_____________________________
Amount _________________
SUBTOTAL
DETAIL: PAYOFF BALANCE OF LIEN(S) ISSUED (BUT NOT YET FILED PER OUR RECORDS)
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
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.
SUBTOTAL $
TOTAL $
Good Thru ____/____/____
Date of Search____/____/____
Search conducted by:
American LegalNet, Inc. www.FormsWORKFLOW.com
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