The mortgage discharge or lien release is recorded. 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. Payoff Statement Form. Mortgage Servicing, July 27, 2021 ; Mortgage Company: Required Disclosure – Specific Notice to Mortgage Applicant (7 TAC §56.200(b)). Do you need a loan payoff request form? 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. Send us a short letter stating that you'd like a payoff quote. You can also request a payoff statement.