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Mortgage Verification Form

A mortgage verification form is a detailed account of an individual's mortgage payment information. Financial institutions often request this type of documentation from an individual applying for credit or a large loan. The form is used to confirm that the person will be able to make future payments consistently and on time.
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How to Write

Step 1 – To begin, download the form in PDF.

Step 2 – The upper left portion of the form must be filled in with the following information:

  • Date
  • Mortgage company
  • Mortgage company address
  • Mortgage #
  • Mortgage company fax #
  • Contact name
  • Contact address

Step 3 – Move on to the upper right portion of the form and enter the return contact information (name, company, address, phone #, fax #).

Step 4 – Next, enter the name of the individual who is to be the recipient of the information supplied by the mortgage provider. Below that, the owner’s signature is required.

Step 5 – In numbers one (1) through six (6), specify the following details:

  • Current mortgage balance
  • Does the balance include accrued interest?
  • If yes, how much interest?
  • Mortgage payment
  • P.I or P.I.T (excluding life insurance)
  • Arrears (if any)
  • Date of last payment
  • What is the tax account balance (if applicable)?
  • Interest rate of mortgage
  • Term renewal date

Step 6 – Continue on to numbers seven (7) through eight (8) and specify the following details:

  • Is this an insured mortgage?
  • What is the remaining amortization of the mortgage?
  • Can the mortgage be paid out?
  • If so, how much would the payout penalty be?
  • Can the mortgage be paid out and remortgaged with your company?

Step 7 – For numbers twelve (12) through fifteen (15), the following details must be specified:

  • The payout penalty (if any)
  • Can this mortgage be assumed without qualifying?
  • Do you have a copy of the Survey Certification or the Real Property Report? (if yes, enclose a photocopy for the benefit of the client)
  • Any additional terms or prepayment privileges

Step 8 – In the remaining spaces of the form, the individual who completed the form must provide their signature, title, and date the signing.