This form is furnished to give you a statement of actual settlement costs. Sample Mortgage Agreement.The terms in your document will update based on the information you provide. To request a payoff quote, please complete the payoff quote form. This form is intended for 3rd parties acting on behalf of Mr. Cooper customers. The second mortgage must be subordinated to the VA-guaranteed loan, that is, the second mortgage must be in a junior lien position relative to the VA loan. That way, you don't owe extra fees and the payment doesn't look late to the lender. Use our DTI calculator to see if you're in the right range. VA mortgage calculator. Mortgage payout statement template, sample mortgage payoff statement, mortgage payoff statement form, private mortgage payoff statement template. 12.