This form is furnished to give you a statement of actual settlement costs. 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. Find what you need quickly and easily with our array of forms for your convenience. Read or print a copy from here! North Carolina specific forms are available below. The forms are downloadable in Adobe Acrobat "PDF" format, unless otherwise indicated. North Carolina specific forms are available below. The forms are downloadable in Adobe Acrobat "PDF" format, unless otherwise indicated. North Carolina, No, Yes.