This is an example of a payoff letter used in a syndicated loan transaction. This payoff letter (including the defined terms such as Lenders,.This form is furnished to give you a statement of actual settlement costs. Do you need a loan payoff request form? Creating a payoff letter is essential to any loan or mortgage repayment process. Our free templates and this guide can help you get started. Gather all the contact information for the loan or mortgage holder, such as name, address, phone number, and any other relevant information. This is a legally binding Real Estate Purchase Contract ("REPC"). Utah law requires real estate licensees to use this form. If in agreement, the payor can provide payment immediately.