Payoff requests are answered within 1-2 days when received on the Download this pdf file. State Home Mortgage Official Payoff Request form.A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. This form is furnished to give you a statement of actual settlement costs. The Georgia Peace Officers Loan Repayment Application Agreement is a one-time application. Can I get a bank statement loan with no down payment? No, most bank statement loans require some form of down payment. A copy of the Good Faith Estimate or estimated settlement statement from the lender. Payoff good thru date. A: An official payoff request form is a document used to request the final payment amount to close a financial account, such as a loan or mortgage.