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.Please fill out this form completely and sign and notarize the Designation of Agent Affidavit (if applicable). Be specific when writing your statement. Complete the fillable PDF form using your computer. Palm Beach County Claim of Lien Form. Fill in the blank form formatted to comply with all recording and content requirements. The documents listed below must be included with this request when submitted: • Copy of all Palm Beach County's Mortgages. How to Redeem a Paper EE or I Savings Bond: Do not sign the bonds. Open FS Form 1522 (PDF).