What you need to know. Fill in the form below to request your Payoff Document.Loan Number, Primary Borrower's SSN, Payoff Date, Reason for request. This form is furnished to give you a statement of actual settlement costs. Do you need a loan payoff request form? 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). "Mortgagor" means the grantor of a mortgage. The mortgagee or mortgage servicer provided a payoff statement. 9.