Complete and submit a payoff worksheet at least 30 days prior to the anticipated payoff date. Include a completed Request for Action (RFA) form.If you need a template, click here to download borrower authorization template. 20 MB max file size. A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. Creating a payoff letter is essential to any loan or mortgage repayment process. Our free templates and this guide can help you get started. This form is furnished to give you a statement of actual settlement costs. Before you fill out the Loan Qualification Worksheet, find out the current industry numbers from a loan officer or mortgage broker. This is an example of a payoff letter used in a syndicated loan transaction.