The payoff amount isn't just your outstanding balance; it also encompasses any interest you owe and potential fees your lender might charge. Please see the back of the form for filing requirements (who must file, where to file and when to file).This form is furnished to give you a statement of actual settlement costs. The mortgage payoff calculator helps you find out. Public officials and public employees are specifically required to file the Statement of Financial Interests form each year the position is held. B1098PY05 Form 1098 Mortgage Interest Statement Copy B Payer. Fill has a huge library of thousands of forms all set up to be filled in easily and signed. FAX THE COMPLETED, DATED AND SIGNED FORM (WITH ATTACHMENTS) TO: (717) 780-3804. Use Black or Blue Ink Only: Do not use pencil or red ink when completing form. 10.