Please accept this as my authorization to issue a payoff statement to. Through an effective date of .1. Enter your personal information and amount owed. The FDIC may be able to assist you in obtaining a lien release if the request is for a customer of a failed bank that was placed into FDIC receivership. List your name, account information, the original creditor of the debt, and the debt collection agencies identifying information. The form must be received at least 21 days before your next scheduled loan payment due date. The City of Philadelphia has authorized private collection agencies and cocounsel to help collect outstanding debts owed to the City. Are you looking for some assistance and based out of the U.S.? Visit the Texas Department of Motor Vehicles or MyPlates websites to see a complete list of specialty plates that are available. Information for people who need health insurance and want to apply or enroll in the Marketplace or Medicaid. Medicaid.gov.