Edu for a Payoff Request. To get a mortgage payoff statement, you'll need to contact your lender and provide some personal info.This form is furnished to give you a statement of actual settlement costs. Edit, sign, and share sample payoff letter for private mortgage online. No need to install software, just go to DocHub, and sign up instantly and for free. A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. Do you need a loan payoff request form? For an official statement verifying your existing mortgage balance, monthly payments, and any late payments, please complete a 3rd Party Authorization form. Filling out this form is straightforward. 9. Can I obtain a blank deed or power of attorney form from the office and just fill in the information?