This form is furnished to give you a statement of actual settlement costs. To request a payoff quote, please complete the payoff quote form.This form is intended for 3rd parties acting on behalf of Mr. Cooper customers. 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. THIS MORTGAGE is made this ______ day of. 20_____, between the. Mortgagor,. A Payoff Request Form is an essential document for those looking to fulfill the remaining balance on a home equity line of credit. Discover our mortgage lien release (satisfaction of mortgage) form and ensure legal compliance and smooth transitions with a free template. A payoff statement is a document that shows how much money a borrower must submit to fully pay off a loan.