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. Documents are not searchable until two to four weeks after they are recorded. Mortgage payoff: The seller will receive a payoff letter from their mortgage company, and the existing loan will be paid at closing. You may also need to fill out a form and supply details like your name, signature, contact info, account number, property address, and desired payoff date. INSTRUCTIONS. The Pennsylvania Housing Finance Agency ("PHFA" or the "Agency") uses the funds from tax exempt bonds to finance Mortgage Loans. Contain the notary's official stamp, which must be placed on the certificate near the notary public's signature in a form capable of photographic reproduction. How to Fill Out Blank Mortgage Statement Form. If you receive an insurance invoice for your home, please forward it to PHFA so we can pay it out of your escrow account.