Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.You need to fill out a form to be considered for "Poor Person Relief. 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 is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,. Searching for a fillable Mortgage Loan Payoff Letter Template? Use our easy editor for PDF files and fill this form out quickly.