This form is furnished to give you a statement of actual settlement costs. The dealer must, within 7 days, notify the lien holder in writing that the vehicle has been traded in.Do you need a loan payoff request form? A lender's payoff statement or letter will show the amount you need to pay to completely close out the loan. Are you looking for a loan agreement form in Utah? Download our free Utah Loan Agreement Form which is available as PDF or Word documents.