This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,.Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc. Most forms may be filled out on your computer, printed and submitted for filing with the Department of State. 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. This assignment is made and the Policy is to be held as collateral security for any and all liabilities of the undersigned, or any of them, to the Assignee,. Arrange for payoff of loans. The seller should advise its bank of the projected closing date and request a pay-off letter.