Missing or incomplete documents will delay processing. Borrower Information: Payoff Contact Information: Borrower Name(s).If you are requesting a payoff statement for yourself (to be sent to you), please complete and sign section 1. 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. Do you need a loan payoff request form? Include the loan or mortgage number. Complete the form to request a reinstatement or payoff. Alternatively, your lender may have a form you must fill out. Edit, sign, and share Seller Information and Mortgage Payoff Request Form online.