Enter the correct amount of estimated payments you made, including any overpayment applied from a prior year return. This form is furnished to give you a statement of actual settlement costs.The optional method allows you to deduct the mortgage interest and state and local real property taxes reported on Form 1098, Mortgage Interest Statement. For purposes of this Section, a payoff demand statement is accurate if prepared in good faith based on the records of the mortgagee or the mortgagee's agent. Illinois law imposes a strict deadline on mortgagees when a mortgagor requests a loan payoff statement. Contact the Lien Unit to learn more about the items for which we have taken this collection action, to obtain a lien release or payoff amount. This form is a statement of final loan terms and closing costs. Borrower name and property address. Expected closing date. Alternatively, your lender may have a form you must fill out.