What does a mortgage statement look like? 1 Settlement Statement is a form used to itemize services and fees charged to the borrower in a real estate transaction.C. NOTE: This form is furnished to give you a statement of actual settlement costs. The Mortgagor will pay the Debt at the time and in the manner provided for its payment in the Note and in this Mortgage. 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! This is an example of a standard mortgage loan commitment letter that would be issued to a New York City condo or coop apartment buyer. The Know Before You Owe mortgage disclosure rule replaces four disclosure forms with two new ones, the Loan Estimate and the Closing Disclosure. In the following disclosure, I=applicant; you=mortgage broker. What does a NYC mortgage commitment letter sample look like?