Payments and payout requests

Concorde Gate Financial Corp. purchases and administers lease and financing accounts. Use this page to request a payout statement or to contact us about an account.

Payout request

Person making the request

Making this request as

Full name

Firm or company (if applicable)

Your file number (if applicable)

Telephone

Account Customer or property owner name(s)

Property address

City

Postal code

Account or agreement number (if known)

Court file number (if a claim has been issued)

Request

Reason for the request

Closing or intended payment date

Signed authorization or direction from the account holder (PDF or image; required unless the account holder is making the request) Additional information (optional)

Requests are processed in the order received.