Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Download our most commonly requested forms. Most forms may be filled out on your computer, printed and submitted for filing with the Department of State. Lien Release Request Form. First name, Last name, Account Number, Phone, Street address, Apartment, suite, etc. No information is available for this page. Fill out the form below and we will contact you with more info. Arrange for payoff of loans. The seller should advise its bank of the projected closing date and request a pay-off letter.