This completed form and the Request for Lien Payoff Information should be faxed to the Reso staff at. 614.644.7106. You have to tell your credit or debit card company about any error you're disputing within 60 days of when the first statement with the charge was sent to you.This form includes several fields necessary for processing a payoff request. Creating a credit card surcharge sign? Explore these examples and best practices to stay compliant. You have to tell your credit or debit card company about any error you're disputing within 60 days of when the first statement with the charge was sent to you. Please write down the confirmation number as record of your payment. The credit card transaction will appear on your credit card statement. A Payoff Request Form is an essential document for those looking to fulfill the remaining balance on a home equity line of credit. Signing a credit purchase slip or other sales contract can have major legal consequences, creating rights and liabilities for you and others.