Com OR calling 847-550-7300. Do you need a loan payoff request form?To get a payoff letter, ask your mortgage lender for an official payoff statement and let them know what the projected closing date is. A payoff statement is a document that shows how much money a borrower must submit to fully pay off a loan. The FDIC may be able to assist you in obtaining a lien release if the request is for a customer of a failed bank that was placed into FDIC receivership. 504. Payoff of first mortgage loan. 103. Settlement charges to borrower (line 1400). 403. 108. Assessments. 408. Associated Bank has hundreds of locations throughout Illinois, Minnesota and Wisconsin. Mortgage Escrow Accounts. If you're requesting a payoff statement for a mortgage, you should also ask about your escrow balance.