Edit, sign, and share payoff form online. No need to install software, just go to DocHub, and sign up instantly and for free.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. A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. Do you need a loan payoff request form? This fill-in-the-blank form can be used to change or extend inspection, signing, financing or other dates contained in a signed real estate contract. 504. Payoff of first mortgage loan. 103. Settlement charges to borrower (line 1400). 403. 108. Assessments. 408.