Homepage Free Mortgage Statement PDF Form

Preview - Mortgage Statement Form

[Servicer Name]

Customer Service: [PHONE NUMBER] [WEBSITE]

[Borrower Name and Address]

Mortgage Statement

Statement Date: _______

Account Number

____________

Payment Due Date

____________

Amount Due

____________

If payment is received after [DATE], $____ late fee will be charged.

Account Information

Outstanding Principal

$_______

Interest Rate (Until [Date])

______%

Prepayment Penalty

[Yes/No]

Explanation of Amount Due

Principal

$_______

Interest

$_______

Escrow (for Taxes and Insurance)

$_______

Regular Monthly Payment

$_______

Total Fees Charged

$_______

Total Amount Due

$_______

Transaction Activity (_/_/_ [Date] to _/_/_ [Date])

Date

Description

Charges

Payments

[Date]

Late Fee (charged because full payment not received by _/_/_

$

 

[Date]

Payment Received – Thank you

 

$

[Date]

Fee Description

$

 

Past Payments Breakdown

 

Paid

Paid

 

Last

Year to

 

Month

Date

Principal

$

$

Interest

$

$

Escrow (Taxes and Insurance)

$

$

Fees

$

$

Total

$

$

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[Servicer Name and Address]

Amount Due

Due By _/_/_ [Date]$

$___ late fee will be charged after [Date]

Additional Principal

$

Additional Escrow

$

Total Amount Enclosed

$

Make check payable to [Servicer Name]

[Account Number]

[Additional tables to be translated]

Important Messages

*Partial Payments: Any partial payments that you make are not applied to your mortgage, but instead are held in a separate suspense account. If you pay the balance of a partial payment, the funds will then be applied to your mortgage.

**Delinquency Notice**

You are late on your mortgage payments. Failure to bring your loan current may result in fees and foreclosure – the loss of your home. As of [Date], you are __ days delinquent on your mortgage loan.

Recent Account History

·Payment due [Date]: Fully paid on time

·Payment due [Date]: Fully paid on [Date]

·Payment due [Date]: Unpaid balance of $________

·Current payment due [Date]: $_______

·Total: $_______ due. You must pay this amount to bring your loan current.

If you are Experiencing Financial Difficulty: See back for information about mortgage counseling or assistance.

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