Owner Information: Date: Owner: Co-Owner: SDHC Loan No(s):. Do you need a loan payoff request form?Note: Fill out the forms completely with the employer's name and address and the judgment debtor's full name. Fill out the form in our online filing application. Requesting a payoff statement is commonly the first step in paying off a loan. Different types of lenders will have varying formats for payoff statements. A payoff statement should include the name and address of the lender preparing the statement and be addressed to the lender that requested the payoff. , SAN DIEGO, CA 92101-3294. 5887 Copley Dr. Floor 1, 3, 4, 5, 6. San Diego, CA 92111.