The balance of the loan may be fully forgiven and lien discharged after five years, if the borrower complies with the terms of the mortgage and note. Fill in the form below to request your Payoff Document.Loan Number, Primary Borrower's SSN, Payoff Date, Reason for request. 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. Complete the form below to submit your payoff request. This form is furnished to give you a statement of actual settlement costs. Do you need a loan payoff request form? 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?