This form is furnished to give you a statement of actual settlement costs. This is a legally binding Real Estate Purchase Contract ("REPC").Utah law requires real estate licensees to use this form. Do you need a loan payoff request form? A mortgage payoff statement details the total amount needed to fully pay off a loan as of a specific date. All payments must be paid in the month they are due. Utah Community Credit Union, 360 W 4800 N Suite E160, Provo, UT 84604, 1 (800) 453-8188. All Rights Reserved.