Form 433I-Payment Agreement Application. Massachusetts. Department of. Revenue.This loan is determined to be in the interest of the Borrower(s) for the following reasons (check all that apply):. Production company is required to complete and submit a separate loan-out affidavit for every personal service or loan-out company included. We are going to be walking through the Massachusetts short form financial statement what it is how to fill it out best practices and everything you need to know. Do you need a loan payoff request form? This form is furnished to give you a statement of actual settlement costs. A payoff statement is a document that shows how much money a borrower must submit to fully pay off a loan. This form is a statement of final loan terms and closing costs. Compare this document with your Loan Estimate.