Fill out this form to apply. DOWNLOAD. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan.DC-430 File with a verified complaint to request the court to issue a summons if you do not have an attorney. Affidavit of Personal Service DC-149R. The Plaintiffs signed a "Mortgage Pay-Off Indemnity Agreement" requiring them to be responsible for any shortfall in the pay-off check. , for Real Property - Mortgage Foreclosure - Residential in the District Court of Suffolk County.