I make this affidavit with the approval of the Estate or Trust, in order to induce New York Title. Title No. STATE OF NEW YORK : : ss.Creating a payoff letter is essential to any loan or mortgage repayment process. Our free templates and this guide can help you get started. Edit, sign, and share payoff form online. No need to install software, just go to DocHub, and sign up instantly and for free. 1. Gather required mortgage information. This form is furnished to give you a statement of actual settlement costs. This form is furnished to give you a statement of actual settlement costs. Print and complete a Mortgage Servicing Request Form (PDF) providing ALL requested information.