Loan Payoff | Solar and Energy Loan Fund

Name*

First Last

Email*

Email

Is this the Primary Borrower?*

Yes
No

Loan ID(s)*

(Note: If paying off more than one loan, please input all loan IDs and include the total payoff amount for all loans.)

Primary Borrower Name*

First Last

Loan(s) Total Payoff Amount*

Date of Payoff Processing*

On what business day do you authorize SELF to process your payment?

Bank Name*

Financial Institution Routing Number*

Financial Institution Account Number*

ACH Authorization*

I authorize the processing of my Loan Payoff Payment submission from my check/savings account listed above. By submitting this form, I am acknowledging that I am authorized to submit the above information and that all information submitted is true and correct. Additionally, I acknowledge that I have verified my Loan Payoff amount with SELF either by phone, email, or through the SELF Client Loan Portal.

Note: SELF Accounting Department will submit the Payoff Settlement document via email. Please ensure your correct email is provided.

Phone

This field is for validation purposes and should be left unchanged.