A versatile form template designed to facilitate the process of requesting specific information from individuals, organizations, or businesses. I (We) authorize RoundPoint Mortgage Servicing LLC to provide a payoff quote to representing the amount required to satisfy my (our) loan in full.Lender: Phone: Address: Subject Property Address: Mortgagor(s) (Seller's Name):. Edit, sign, and share Seller Information and Mortgage Payoff Request Form online. Filling out this form is straightforward.