Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Please fill out the form below or see additional contact information below this form. A demand letter is an official notice requesting money, possession of assets, or action on a legal matter. How to fill out the Payoff Request Letter Templates? The seller should advise its bank of the projected closing date and request a payoff letter. The template used in this electronic filing system is similar, but not identical to the current paper form. Consult with Our Expert Lawyers on Debt Collection. Easy to connect our debt Negotiation Lawyer for Brooklyn , Suffolk and Nassau Counties, NY. Fill out the form below to request a loan payoff letter.