Payoff Request Form. First name, Last name, Account Number (optional), Phone, Street address, Apartment, suite, etc.Use a standard business letter format with your name, contact information, and the date at the top. Please fill out the form below or see additional contact information below this form. 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. Read some quick answers to questions we frequently receive when people need help with their policy or have basic questions about the products we offer. This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,. Most forms may be filled out on your computer, printed and submitted for filing with the Department of State.