Send sample payoff letter for private mortgage via email, link, or fax. You can also download it, export it or print it out.A payoff agreement is an informal contract in which a creditor agrees to accept the balance of a debt owed as full payment. For each loan, we will need: Lender Name; Customer Service Address; Lender Phone Number; Mortgage Account Number. How to fill out the Payoff Request Letter Templates? Are you looking for a loan agreement form in Utah? Download our free Utah Loan Agreement Form which is available as PDF or Word documents. The Loan Payoff Request Form is a vital document for borrowers who wish to obtain a mortgage payoff statement from Seneca Mortgage Servicing LLC. 350 North State, Suite 320. Use the CD calculator to see the total interest you can get on a certificate of deposit.