A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan."I am writing to request a payoff letter for my loan, account number XXXXXXXX, with a requested payoff date of (date)." Create a Loan Payoff Letter online and download it as a PDF or Word document. Customize and print a blank Loan Payoff Letter for free. The mortgage payoff statement is a document that provides a comprehensive breakdown of the remaining balance on a mortgage. Filling out this form is straightforward. FHA offers a number of loss mitigation programs and informational resources to assist FHA-insured homeowners facing financial hardship. These calculator templates can help you with your mortgage, loans, budgeting, and more. 1. 1. Enter the name and contact information of the mortgage servicer.