Payoff requests are answered within 1-2 days when received on the Download this pdf file. State Home Mortgage Official Payoff Request form.This form is furnished to give you a statement of actual settlement costs. A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. The mortgage payoff calculator helps you find out. The mortgage statement must be in the name of the homeowner living in the home, or in the name of the borrower or spouse living in the home with the homeowner. Learn what a mortgage payoff statement is, how to request one, and and what to do if your mortgage servicer fails to send it. This form is a statement of final loan terms and closing costs. Buy a home with the right mortgage for your unique needs. Get started with our mortgage calculators, apply online, or speak to a loan officer.