The Fisher Law Group PLLC > REO & Settlement/Closing > Power of Attorney Order Form

Use this form to request a Power of Attorney.

Complete the information below and send via Email by clicking on "Send" below or you may print it by clicking on "Print" below and then fax it to 301-599-2100. Upon receipt, you will be contacted to arrange settlement.
Please note, all items marked with an asterisk(*) are required.
Grantor Information
* Full Name of Grantor(s):
* Full Name of Grantee/Attorney-in-fact:
* Subject Property Address:
* City:
* State
* Zip

Lender Information
Lender involved? No   Yes   If yes, please complete the following...
Lender Name:
Address:
City:
State
Zip
Loan Amount:

Requested By
* Full Name:
* Address:
* City:
* State
* Zip
* Phone
* Email