Ohio Payoff Form Modify Form Here

Ohio Payoff Form

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.

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Table of Contents

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.

Form Sample

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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 ____________________

 

 

 

 

 

 

 

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

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]

TO:

_____________________________________________________________(NAME)

 

__________________________________________________(MAILING ADDRESS)

 

________________________________________________

 

FAX NO. ________________________________________

FROM:

COLLECTIONS ENFORCEMENT SECTION, ATTORNEY GENERAL OF OHIO

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)

$

 

(see attached detail)

Payoff Balance of Unliened Debts

$

(see attached detail)

 

 

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.

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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

_____________________________

Reference Number

_____________________________

Reference Number

_____________________________

Reference Number

_____________________________

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.

Amount _________________

Amount _________________

Amount _________________

Amount _________________

SUBTOTAL $

TOTAL $

Good Thru ____/____/____

Date of Search____/____/____

Search conducted by:

_____________________________

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Form Information

Fact Name Description
Purpose The Ohio Payoff form is used to request payoff information for debts owed to the State of Ohio.
Governing Law This form is governed by Ohio Revised Code Section 131.02, which outlines the collection of debts by the Attorney General.
Who Completes It The form must be completed by a realtor or title company on behalf of the debtor.
Consent Requirement Debtors must provide consent for the Attorney General to release information regarding their debts.
Search Criteria Debtors are required to provide specific search criteria, including names, addresses, and tax identification numbers.
Response Timeline The Attorney General's office typically responds to requests within a specified timeframe, usually within 10 business days.
Payment Instructions Payments must be made to the Attorney General of Ohio and sent to the specified address to ensure proper crediting of accounts.
Additional Fees If an account is assigned to special counsel, additional fees may apply beyond the stated payoff amounts.
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