This form is furnished to give you a statement of actual settlement costs. A secured lender shall prepare and deliver a payoff demand statement to the person who has requested it within fourteen days after receipt of the demand.The mortgage payoff calculator helps you find out. City of Glendale Mortgage Subordination Application Form. A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan. You can pay off your mortgage with a check. Simply fill out the Escrow Account Set Up Request Form. How to fill out the Mortgage Payoff Statement Request Form? Loan servicing and loan modification information from Carrington Mortgage.