Payoff Statement Form. Mortgage Servicing, July 27, 2021, Download.Use Fill to complete blank online TEXAS REAL ESTATE CONTRACTS pdf forms for free. 1. 1. Enter the name and contact information of the mortgage servicer. {This is an Adjustable Rate Mortgage. Under the terms of this loan the next Change Date for the interest rate charged is {Insert Next Rate Change Date}. 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. This guide will help you learn mortgage math, allowing you to confidently calculate how much you need to pay off your mortgage. This form is furnished to give you a statement of actual settlement costs.