Real Estate Services Forms. Note: These documents must be prepared in accordance with ORC 317.114 - Standard format of instruments to be recorded.That's where a mortgage payoff statement comes in. It lays out each fee and dollar still due before you completely pay off your mortgage. How to fill out the RoundPoint Mortgage Payoff Request Form? 1. Enter your loan number. 2. Proof of the payoff amount for each lien senior to Cuyahoga County's loan d. Preliminary closing statement showing all closing charges to be paid upon sale. "Payoff amount" is generally higher than the remaining balance on the home. Fill out the form below to request a loan payoff letter.