Payoff requests, including borrower's authorization, should be directed to the servicer of the first mortgage. AN ASSIGNMENT LETTER (including loan information and name of new lender) FROM.This form is furnished to give you a statement of actual settlement costs. This form is a statement of final loan terms and closing costs. This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,. 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. Deductions on Schedule A (Form 1040). How to fill out the Mortgage Payoff Statement Request Form? This form cannot be used to enforce a small claims judgment.