This form is furnished to give you a statement of actual settlement costs. Do you need a loan payoff request form?Demand Payoff Request. Complete the form below to create a new request. To process your request as quickly as possible, complete the online Loan Payoff Quote form, send a written request or call our Loan Servicing department. Do you need a loan payoff request form? Payoff of first mortgage loan. 103. If you want to know what it will take to pay off a loan, you'll need to access a payoff statement (sometimes called a payoff letter). Request. Complete the form below to create a new request. Thank you for using City National Bank's Online Payoff Demand Request form.