Mortgage Forms & Fees
The following forms are available for you to download and mail directly to a customer service representative at Regions. For additional access and features, login to MyMortgage. 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
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.
Name/Signature Affidavit Form
Customers who have legally changed their name from a name different than the name on their mortgage should provide an updated w-9 and a copy of the approved legal documents which completed the name change. The attached form may also be required during this process.
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 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)
- Request for Transcript of Tax Return (4506-C) and Authorization form
Note: If you elect to complete the above 4506-C form, please note that the address in Box 5 of the form should NOT be altered.
Loan Servicing Fee Schedule: Fees will be charged as follows or as permitted by applicable law.
| Type Fee | Fee Amount | Applicability of Fee |
|---|---|---|
| Release Recording Cost | Cost charged to Regions by the recording office | Cost of recording release or discharge of mortgage in the official records when loan is paid in full or settled as agreed |
| Subordination | $300 maximum, as permitted by applicable law | Processing fee to complete a subordination agreement requested by borrower |
| Partial Release | $300 maximum, as permitted by applicable law | Processing fee to allow some of the collateral to be released from the mortgage as requested by borrower |
| Over Limit | $29 | Fee authorized in agreement if Credit Line Account balance exceeds the Credit Limit |
| Conversion | $100 | Fee authorized in agreement to convert all or portion of Credit Line Account variable rate balance to a fixed rate with a fixed term |
| Card Rush | $35 maximum | Fee to expedite delivery of a Credit Card for Credit Line Account at borrower's request |
| Principal Reduction Modification Fee | $275 | Fee for process of a Principal Reduction modification & for overnight of documents. A FedEx return envelope will be include to return documents for processing |
| Escrow Release Fee | 0.25% of the current unpaid principal balance | Fee charged if borrower’s request to discontinue the escrow of property taxes and hazard insurance is approved by Regions |
Note: These fees do not include any fees or charges that result from late payments or default as detailed in the relevant loan documents.
Other fees for services not listed above may apply. Fees are subject to change.