Edu for a Payoff Request. 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. Filling out this form is straightforward. This form is furnished to give you a statement of actual settlement costs. A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. A Payoff Request Form is an essential document for those looking to fulfill the remaining balance on a home equity line of credit. Do you need a loan payoff request form? A copy of the payoff statement for the first mortgage. The Pennsylvania Housing Finance Agency (PHFA) has acquired your mortgage loan and will be servicing it.