The following forms are available for you to download and mail directly to a customer service representative at Regions Mortgage. For additional access and features, login to the MyMortgage 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 payment. Sign up online or send us a completed Automatic Draft Form. 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 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

W-9 and W-8BEN

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.

Mortgage Assistance Application

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 the Mortgage Payment Assistance Application that will help us work with you to determine the alternative best suited for you.

• Mortgage Assistance Application (English)
• Mortgage Assistance Application (en Español)

Loan Servicing Fee Schedule: Fees will be charged as follows or as permitted by applicable law.

• Request for Transcript of Tax Return (form 4506-T)

Note: If you elect to complete the above 4506-T form, please note that the address in Box 5 of the form should NOT be altered.

Note: These fees do not include any fees or charges that result from late payments or default as detailed in the relevant loan documents.