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Mortgage Statement
Statement Date: _______
[Servicer Name]
Customer Service: [PHONE NUMBER]
[WEBSITE]
[Borrower Name and Address]
Account Information
Outstanding Principal $_______
Interest Rate (Until [Date]) ______%
Prepayment Penalty [Yes/No]
Account Number ____________
Payment Due Date ____________
Amount Due ____________
If payment is received after [DATE], $____ late fee will be charged.
Explanation of Amount Due
Principal $
_______
Interest $_______
Escrow (for
Taxes and Insurance) $_______
Regular
Monthly Payment
$_______
Total Fees Charged $_______
To
tal 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
Last
Month
Paid
Year to
Date
Principal $ $
Interest $ $
Escrow (Taxes and Insurance) $ $
Fees $ $
Total $ $
[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]