Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Can someone help me fill out this Deed and the accompanying forms? We are a clerical staff - not attorneys. The payoff letter should say upon payment they will record a satisfaction of lien. A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan. The release is what removes the lien, which in your case isn't there. A payoff statement should include the name and address of the lender preparing the statement and be addressed to the lender that requested the payoff. New York State imposes a tax on the privilege of recording a mortgage on real property located within the state.