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.A written payoff statement sufficient to enable the mortgagor or the authorized person to conclusively make full payment of the outstanding indebtedness. Do you need a loan payoff request form? Loan payoff statements tell borrowers how much they must pay to close out a loan. Due to interest, etc. A payoff statement should include the name and address of the lender preparing the statement and be addressed to the lender that requested the payoff. The repayment terms are stated in full in the Subsidy Mortgage and Subsidy Note. Please complete all applicable fields below.