View a Sample Settlement Statement to learn more about what to expect at settlement and to familiarize yourself with the language and terms of settlement. The following are instructions regarding filling out various items on the Homeowner Payment.This form is furnished to give you a statement of actual settlement costs. There are several documents that are required when submitting a Maryland Mortgage Program loan application on behalf of a borrower. You must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1 (form MDJ-008) with this submission. If you need a template, click here to download borrower authorization template. 20 MB max file size. If you need a template, click here to download borrower authorization template. 20 MB max file size. If you receive this form in a small claims case, contact a lawyer.