Use a free Mortgage Payoff Statement Request Form to gather information from the holder of a mortgage to create an official payoff statement. Edit, sign, and share sample payoff letter for private mortgage online.No need to install software, just go to DocHub, and sign up instantly and for free. Provide a clear explanation: Your letter should acknowledge and indicate why something happened. Payoff Request Form. Date: TO: CALIFORNIA HOUSING FINANCE AGENCY. 1) Call the mortgage department and request an official principal payoff letter. Do you need a loan payoff request form? 2) Once you receive the principal payoff letter, write the check for the exact amount and in the memo, write: "Payoff" and the mortgage account number. This form is furnished to give you a statement of actual settlement costs.