This form is furnished to give you a statement of actual settlement costs. Philadelphia County Mortgage Form.Fill in the blank form formatted to comply with all recording and content requirements. Learn how to read mortgage statements to help clients track payments, avoid errors, and manage their mortgages efficiently. Get mortgage statement now, as well as a library of hundreds of legal documents and PDF files at FormsPal. Personalizing your forms never has been simpler! Section A. Correspondent: Enter the name, address and telephone number of party completing this form. Complete the "After Recording" and "Prepared By" statements and fill in the name of the county. Our goal is to create a statement that is easy to understand and that provides information to borrowers about current and past payments. Payoff Letter Template.