If your lender agrees to settle a debt for less than you owe, you'll need a written agreement of the terms. We are disseminating the attached information for state agencies to use to support their employees seeking loan forgiveness under the program.Use our IOU template to detail how borrowed money will be repaid. Application: Read, complete, and sign the 2022-2023 John R. Justice Loan Repayment Program Application and Employment Verification 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. This letter is in reference to the account number identified above and its outstanding debt. This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,. Dentists, dental hygienists and allied dental providers are eligible for the programs described in the chart below where applicable in all 50 states.