The best advice I can give you is to call the office in question - don't write. Dear APPLICANT: Effective today we have withdrawn your application for assistance.This is a sample Florida mortgage payoff authorization form and should not be used or relied upon for any real estate transaction. Provide a clear explanation: Your letter should acknowledge and indicate why something happened. Fill in all blanks on the Request for Unforeseeable Emergency Withdrawal (page 5),. Income Statement (page 6) and the bottom of W-4P (page 7) forms. IMPORTANT NOTICE - This is a request to withdraw your application. If we approve it, the decision we made on your application will have no legal effect. The payoff amount is what you still owe on your loan. I want to pay off my mortgage loan, so I called the servicer to ask how much it would cost.