For each loan, we will need: Lender Name; Customer Service Address; Lender Phone Number; Mortgage Account Number. To receive a copy of a loan payoff statement, please fill out the below request form.Use a free Mortgage Payoff Statement Request Form to gather information from the holder of a mortgage to create an official payoff statement. FMFCU would consider this a used car loan. A payoff letter provides instructions on how to pay off a loan with a lump sum before the loan term ends. Learn how payoff letters work. A payoff letter shows the remaining balance on your mortgage, including fees, interest, etc. Learn more about what a payoff quote is and how to request one. Mortgage Servicing Request Form: Print and complete a Mortgage Servicing Request Form (PDF) providing ALL requested information. • The Note Form must match the legal documentation requirement as described in the product description.