Requests may be sent to State Home Mortgage via email, as long as the form is completely filled out. This payoff letter template includes fields for personal information, amount owed, payment plan or full payment offer, and lender details.This form is furnished to give you a statement of actual settlement costs. This is a standard form of payoff letter. This form is a statement of final loan terms and closing costs. A chapter 13 bankruptcy is also called a wage earner's plan. It enables individuals with regular income to develop a plan to repay all or part of their debts. Plans are not required to include this exception. Georgia Primary Bank) to assist the Applicant with the loan application. (Google chrome is NOT supported).