The PAYOFF STATEMENT FORM (Texas Real Estate Contracts) form is 2 pages long and contains: 0 signatures; 0 checkboxes; 68 other fields. Searching for a fillable Mortgage Loan Payoff Letter Template?Use our easy editor for PDF files and fill this form out quickly. Filling out this form is straightforward. 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. A payoff statement or a mortgage payoff letter will typically show the balance you must pay in order to close your loan. A Payoff Request Form is an essential document for those looking to fulfill the remaining balance on a home equity line of credit. 504. Payoff of first mortgage loan. 103. Settlement charges to borrower (line 1400). 403. 108. Assessments. 408.