Mortgage Statement 12-a - Free download as PDF File (. Cook County Mortgage Form.Fill in the blank form formatted to comply with all recording and content requirements. Our goal is to create a statement that is easy to understand and that provides information to borrowers about current and past payments. You should consider completing these two financial statements: One showing an accurate accounting of your finances at this very moment. Massachusetts Division of Banks Releases Sample Notice for Mortgage Modification Rules; Template for Reporting and Proposed Regulations to Implement Rule. Customer: I receive a mortgage statement in the mail monthly and pay the amount due as scheduled. Fill in the blank form formatted to comply with all recording and content requirements. Letter of Employment Template. Here is the letter of employment confirmation template for your mortgage loan application:.