Payoff Request Form. The payoff amount isn't just your outstanding balance; it also encompasses any interest you owe and potential fees your lender might charge.Private Loan Payoff Letter Template offers a clear and professional format for requesting an official statement of your loan payoff balance. This estoppel letter MUST be sent within 14 days of the request or there is a risk of sanctions, including monetary penalties. A payoff letter is a document that provides detailed instructions on how to pay off a loan. What is a payoff statement for student loan? A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. Include your case number, the date of the payoff and your email address in your request. We will email the payoff statement to you upon receiving your request.