Please prepare a payoff quote according to the following information. This form is furnished to give you a statement of actual settlement costs.This is a sample Florida mortgage payoff authorization form and should not be used or relied upon for any real estate transaction. Check the applicable Rider boxes in the Short Form Mortgage. Insert the property description information and the address in the Short Form Mortgage. ID: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Completing a legal form might seem mind-boggling, particularly when its expected date rapidly approaches. Both documents serve the same purpose however some states utilize one over the other. This office is conducting a closing on the above referenced property on which you hold a mortgage. Discover our mortgage lien release (satisfaction of mortgage) form and ensure legal compliance and smooth transitions with a free template.