This form is furnished to give you a statement of actual settlement costs. Do you need a loan payoff request form?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. The type of transaction (refinancing, selling, or paying off) will determine the documents needed. Do you need a loan payoff request form? Create a Loan Payoff Letter online and download it as a PDF or Word document. Customize and print a blank Loan Payoff Letter for free. 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.