Com or fax in the request to (201) 839-4512. 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. Use a free Mortgage Payoff Statement Request Form to gather information from the holder of a mortgage to create an official payoff statement. Lender Phone Number; Mortgage Account Number. Complete the Payoff Statement Request Form. The statement will be delivered via email to the email address provided on the form. 1. Complete the Payoff Request Form in its entirety. Unsigned or incomplete requests will not be processed. 2. A payoff letter shows the remaining balance on your mortgage, including fees, interest, etc.