Include your case number, the date of the payoff and your email address in your request. We will email the payoff statement to you upon receiving your request.Below is a list of forms that you may download for free from our website. Payoff Statement (1) - Free download as PDF File (. Cardholder Name (as shown on card):. Card Number (LAST 4 DIGITS ONLY):. Need to get a hold of us? Fill out this form and we'll get back to you as soon as we can. PJease fill in the accompanying form. Ask the cardholder for some form of official government identification, such as a driver's license or passport.