How to understand City of Philadelphia judgment and lien numbers in order to submit a payoff request. To fill out the Lien Payoff Request Form, ensure all required fields are completed accurately.Please note: this process can take up to 30 days to be completed. Download Free Pennsylvania Notice of Intent to Lien Form in PDF format. Current title must be attached. If title is not attached, complete Section B. NOTE: If title is ELT, lienholder is required to release the lien electronically. Remove a lien on a piece of property with LawDepot's free Lien Release form. Customize, download, and print your form now. This is a sample letter seeking a reduction in a medical lien. The Payoff letter includes a copy of the tax lien release on a letterhead that is the size of a check with your name listed and signature.