Payoff Request Form. Date: TO: CALIFORNIA HOUSING FINANCE AGENCY.Use a free Mortgage Payoff Statement Request Form to gather information from the holder of a mortgage to create an official payoff statement. You can request a payoff statement online 24 hours a day, seven days a week. To request a statement from Freedom Mortgage, log in to your account or mobile app. Fill in the form below to request your Payoff Document. Loan Number, Primary Borrower's SSN, Payoff Date, Reason for request. Do you need a loan payoff request form? Tax season is coming! Your Mortgage Interest Statement (Form 1098) will be available to you in late January.