This form is furnished to give you a statement of actual settlement costs. Edit, sign, and share payoff form online.No need to install software, just go to DocHub, and sign up instantly and for free. Complete and submit a payoff worksheet at least 30 days prior to the anticipated payoff date. Include a completed Request for Action (RFA) form. Before you fill out the Loan Qualification Worksheet, find out the current industry numbers from a loan officer or mortgage broker. For example, several Minnesota agencies own title and mortgage companies. A payoff statement is a document that shows how much money a borrower must submit to fully pay off a loan. We may file a lien at any time when an individual or business owes a debt to the state. For legal forms, assistance completing them and legal advice, please consult your legal advisor.