Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Creating a payoff letter is essential to any loan or mortgage repayment process. Our free templates and this guide can help you get started. Create a Loan Payoff Letter online and download it as a PDF or Word document. Customize and print a blank Loan Payoff Letter for free. The party owed should include language that motivates the debtor to make payment. For example: In 2015 a homeowner in NYC took out a loan for. This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,.