A payoff statement should include the name and address of the lender preparing the statement and be addressed to the lender that requested the payoff. North Carolina specific forms are available below.The forms are downloadable in Adobe Acrobat "PDF" format, unless otherwise indicated. 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. 11.06 Form of Assignment and Assumption. Download English and Spanish versions of TRID model and sample forms for different loan types.