Mortgage Forms

Take advantage of the following forms available for you to download and mail directly to a customer service representative at Regions Mortgage. For additional access and features, login to the My Mortgage online access tool. If you are not already enrolled in My Mortgage, you will need to enroll for this FREE service to get started using My Mortgage today.

Automatic Draft Form
Take the worry out of remembering when to make your mortgage online payment. Send us a completed Automatic Draft Form, and you'll never have to worry about those costly late charges again. The mailing address and fax number are included in the downloadable form.

Borrower Information Release Form
Authorize another party to obtain information regarding your mortgage account with the Borrower Information Release Form. Please note that certain transactions cannot be processed unless requested by the borrower of record.

Credit Dispute Form
Should you find a discrepancy between your records and what is reflected on your credit report, please complete this Credit Dispute Form and return it to us at the address below along with any documentation relevant to the dispute.

Regions Mortgage
Attn: Credit Department
PO Box 110
Hattiesburg MS 39403-0110

IRS W-9 and W-8BEN Forms
The IRS Forms W-9 and W-8BEN are for obtaining your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt or contributions you made to an IRA.

Uniform Borrower Assistance Form
If you have been affected by recent storms or are having difficulty making your loan payments, Regions has a dedicated team prepared to assist you. To get started please complete Uniform Borrower Assistance Form which will help us work with you to determine the alternative best suited for you.


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