Mortgage Loan - Billing Statement Example Page 4

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21. Stmt Date, Branch, Loan Number, Frequency – Detailed information will print
for each of the categories in the column. Repeat information for the payment
coupon.
22. Due on or Before – The date the payment is due at the office.
23. Total Amount Due – Displays the total amount due for the loan – same as line
item 18.
24. Amount Enclosed – Space for the customer to write in the total amount of
dollars enclosed with the payment coupon.
25. Reserve Fund, Installment Fund, Special Principal Pmt, Prepaid Interest Blank
Lines – Area where the customer can designate how to apply additional dollars
mailed with the payment to the association.
26. Address Changed Marked – Checkbox for the customer to designate if there is
a change of address to report. There is an area on the back side of the
payment coupon where the borrower can print the address change.
27. Customer Name and Address – Displays the borrower’s name and address.
• First Line – Borrower Name from Account Title 1.
• Second Line – Borrower Name from Account Title 2.
• Third Line – Address Line 1 from loan address.
• Fourth Line – Address Line 2 from loan address. (if applicable)
• Fifth Line – City, State, and Zip Code from loan address.
28. Association Name and Address – The association’s name and address is
placed in the precise location for a window envelope. The window envelope is
mailed with the billing statement. The customer can tear the payment coupon
off and mail it, with the payment, in the envelope provided.

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