Payoff requests are answered within 1-2 days when received on the Download this pdf file. State Home Mortgage Official Payoff Request form.If in agreement, the payor can provide payment immediately. However, if the issue involves a small claims court, this could result in a settlement. Do you need a loan payoff request form? Payoff of first mortgage loan. 103. Settlement charges to borrower (line 1400). 403. 108. Assessments. 408. Assessments. 205. 505. Please click on the link below containing the Water Sewer Request for Statement of Charges Form. A copy of the Good Faith Estimate or estimated settlement statement from the lender. Payoff good thru date.