This form is furnished to give you a statement of actual settlement costs. Missing or incomplete documents will delay processing.Borrower Information: Payoff Contact Information: Borrower Name(s). Edit, sign, and share payoff form online. No need to install software, just go to DocHub, and sign up instantly and for free. Edit, sign, and share private mortgage payoff letter template online. Please prepare a payoff quote according to the following information. Have a question about your mortgage loan? The Attorney General's Office (AGO) may have an answer. In a mortgage, the lender agrees to give you the loan funds and you agree to make periodic payments to pay back the loan amount.