The mortgage payoff calculator helps you find out. On average this form takes 17 minutes to complete.The PAYOFF STATEMENT FORM (Texas Real Estate Contracts) form is 2 pages long and contains:. This form is furnished to give you a statement of actual settlement costs. Click on Payments and then click on Request Payoff. You can attach the signed authorization form below. Use Citizens State Bank's mortgage payoff calculator to find out today. Payoff Statement Form. Mortgage Servicing, July 27, 2021, Download. You can pay off your mortgage with a check.