Filling out this form is straightforward. Find the latest San Bernardino County roll value history, assessment roll and recap data available from the Assessor's office.The one-time, federally funded California Mortgage Relief Program has awarded all homeowner grants and will not receive any more funding. The applications filing period is from October 1 to February 10. 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. Under the Loan Information section, you will find a payoff request option that will take you to our payoff request form. Notary Acknowledgement. The form used for a California Notary Acknowledgment shall be in the format as shown. Agreements and loan mods may cause delays in getting an accurate payoff statement.