Please submit the following information with the form: Deed of Trust; Borrower(s) Signed Authorization; The Signed Loan Payoff Request Form. LOAN PAY-OFF DEMAND REQUEST FORM.This form must be completely filled out and submitted along with all required documents. Filling out this form is straightforward. A mortgage payoff statement can be a useful piece of documentation for some borrowers to request. Information about the State Loan Repayment Program that helps employers recruit and retain primary medical, dental, and mental healthcare providers.