In order to process your homeowner mortgage servicing request, you must submit the following: Mortgage Servicing Request Form, Mortgage Servicing Fee. 1 Settlement Statement is a form used to itemize services and fees charged to the borrower in a real estate transaction.The mortgage payoff statement is a document that provides a comprehensive breakdown of the remaining balance on a mortgage. How can I request a payoff statement? Contact your servicing bank (where you make your monthly mortgage payments) and request a payoff statement. A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan. Mortgage payoff statement and arrange for availability of discharge if privately held mortgage. e). Fill out your roundpoint payoff request form online with pdfFiller! Search for another form here.