For questions, please call (215) 6861627. Edu for a Payoff Request.To fill out the Lien Payoff Request Form, ensure all required fields are completed accurately. Any questions, you may call 215-686-6648 or 215-686-2670. Please request form if needed. Follow the instructions below to complete Pa department of revenue lien section online easily and quickly. A mortgage payoff statement can be a useful piece of documentation for some borrowers to request. The form used to provide notice of the lien is Form 668(Y) (C), Notice of Federal Tax Lien. Other forms used in the lien program are listed in IRM 5.12. Edit, sign, and share Lien Payoff Request Form (REV-1038) online.