All requests must include a signed borrower authorization document. If you need a template, click here to download borrower authorization template.To request a payoff quote, please complete the payoff quote form. This form is intended for 3rd parties acting on behalf of Mr. Cooper customers. How to fill out the Mortgage Payoff Statement Request Form? 1. Complete the form with your mortgage account details. 2. Alternatively, your lender may have a form you must fill out. Sample Real Property and Land Documents: Deeds.