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MORTGAGE PAYMENT RECEIPT
PAYMENT TYPE(S):
o Monthly Payment
o Additional Principal Payment
o Escrow Only Payment
MEMBER NAME
DATE
MEMBER SIGNATURE
MORTGAGE ACCOUNT NUMBER METHOD OF PAYMENT (CHECK ONE)
AMOUNT PAID
DAYTIME PHONE NUMBER
If you have questions regarding your mortgage payment, please call our Mortgage Servicing Section at (202) 212-6450.
o Check # _______________ enclosed
o Transfer from account number_______________________________
Credit Union Use Only
Accepted by:
_________________ _____________
Initials Date
BFLS121.0
20050316
X
Mailing Address: 1725 I Street NW, Suite 150
Washington, DC 20006-2406
T 202 212 6400 F 202 683 2380 BFSFCU.org