It must be signed, dated, and include that person's address and telephone number. It must be signed, dated and include that person's address and telephone number.Filling out this form is straightforward. 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. Home Mortgages: Most trusted lender for 3 decades. Easy Financing: Mortgage in a SNAP. Once screening is complete, enter the CAIVRS confirmation code on VA Form. 26-6393, Loan Analysis, in the space to the right of the "no" block in item 46. When you pay off the loan, the lender will give you a payoff statement.