A mortgage payoff statement details the total amount needed to fully pay off a loan as of a specific date. 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. Verification of funds letters come in a few different forms, with the most common being bank statements. Number 10, in a circle. Getting your 10-day payoff statement is an important step in refinancing your student loans. 1. 1. Enter the name and contact information of the mortgage servicer. This form is a statement of final loan terms and closing costs.