This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,.Do you need a loan payoff request form? This form is furnished to give you a statement of actual settlement costs. A payoff statement or a mortgage payoff letter will typically show the balance you must pay in order to close your loan. To request a payoff quote, please complete the payoff quote form. This form is intended for 3rd parties acting on behalf of Mr. Cooper customers. Do not include a credit report as proof of payoff. What is a Payoff Letter? A payoff statement or a mortgage payoff letter will typically show the balance you must pay in order to close your loan.