By including a per diem amount in the letter, the parties will not have to execute another payoff letter if the termination date. Please accept this as my authorization to issue a payoff statement to.Through an effective date of . A payoff agreement is an informal contract in which a creditor agrees to accept the balance of a debt owed as full payment. Please provide payoff information for the above referenced mortgage. Also, please provide loan number and per diem interest. Searching for a fillable Mortgage Loan Payoff Letter Template? Use our easy editor for PDF files and fill this form out quickly. It also often gives information on how best to deliver the payoff funds, etc. Mortgage Loan Originators, Resulting from.