Payoff requests are answered within 1-2 days when received on the Download this pdf file. State Home Mortgage Official Payoff Request form.Do you need a loan payoff request form? This form is furnished to give you a statement of actual settlement costs. 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. You can't just pay the amount shown on your monthly mortgage statement to pay off the loan. That amount is your outstanding loan balance, not a payoff amount. A payoff statement or a mortgage payoff letter will typically show the balance you must pay in order to close your loan.