This document provides a sample payoff request letter that can be used as a guide. Do you need a loan payoff request form?Most escrow or title companies have a simple demand form you can request and fill out detailing the payoff. A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan. Most escrow or title companies have a simple demand form you can request and fill out detailing the payoff. Include the following information with your check or money order: Your name; Your mortgage account number. Office closure Our Los Angeles office is currently closed. Loan Number: To Whom It May Concern: This is your authorization to forward a mortgage payoff letter to: Best Homes Title Agency. 23938 Research Drive.