The payoff to the old lender usually comes from the new lender, and becomes part of the money you owe them. Say you wanted to get $50,000 from your mortgage, and owed $150,000 on the property. You would need to take a $200,000 loan, then use $150,000 to pay off the old loan and keep $50,000, and owe the new lender $200,000.
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