This mortgage secures all payments of principal and interest due on a variable rate loan. Complete the "After Recording" and "Prepared By" statements and fill in the name of the county.1. Read the entire document carefully. In this Sample Mortgage Statement in PDF, you will get the properly structured sample of a mortgage form. View the forms library. To review the marked-up version, navigate to the form's page and click "download the marked-up version. " Call Letters, Form Name, Release Date. Fill in the blank form formatted to comply with all recording and content requirements. This form is a statement of final loan terms and closing costs. â—‹ Only documents that transfer ownership of property get UPI stamps.