Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Download our most commonly requested forms. Please fill out the form below or see additional contact information below this form. Round up to the next whole number and enter that rate in Section B. Most forms may be filled out on your computer, printed and submitted for filing with the Department of State. How to fill out the Payoff Request Letter Templates? 1. Enter your personal information and amount owed. 2. The seller should advise its bank of the projected closing date and request a payoff letter. Failure to notify the tax office in a timely manner may result in your having to pay a penalty for a late tax payment.