Start by filling out your contact information, including your name, address, phone number, and email address. 2. Provide details about the loan you are paying off, including the loan number, the name of the lender, and the amount you owe. 3. Specify if you would like to make a single payment or multiple payments to complete the payoff. 4. Provide your payment information. This could include a check, money order, or bank or credit card information. 5. Indicate the date you would like the loan to be paid off by. 6. Sign and date the form. 7. Submit the form to the lender.