Payment Change Request Form
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1Suite 2300, 145 King Street West
Toronto, Ontario m5h 1j8
Telephone
416-360-4663
Toll Free
1-855-270-3630
Facsimile
416-360-0745
toll free
1-866-706-7211
Website
Payment Change Request Form
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To:
_________________________________________________________
VIA:
Fax
E-mail
Mail
Mortgage Number _________________________________________________
Property Address ______________________________________________________________________________________________________________________
Current Payment Frequency
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Monthly: Day of the month ____________________
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Semi-monthly: Every 1st and 15th of the month
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Biweekly: Day of the week ____________________________________ Last payment received ______________________________________________
Payment Date Change
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Please change my payment date to the __________ of the month. (between 1st and 27th only)
New Payment Frequency
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Payment frequency change, I acknowledge that a $50.00 fee will apply. Please select one of the following:
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$50.00 will be sent with form
Please add the $50.00 fee to my mortgage
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Monthly: Day of the month _____________________________________ (between 1st and 27th only),
starting the month of __________________________________________
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Biweekly: Day of the week _____________________________________ (i.e., Mon., Tues., etc.),
with first payment being extracted on: Day of the month ____________________ (i.e., 1st, 2nd, 3rd, etc.)
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Accelerated Biweekly: Day of the week __________________________ (i.e., Mon., Tues., etc.),
with first payment being extracted on: Day of the month ____________________ (i.e., 1st, 2nd, 3rd, etc.)
I/We request that the following changes be made on my mortgage account with Home Trust Company. I understand that there may be an Interest
Adjustment amount due. Subject to the mortgage being current/up-to-date, please modify certain mortgage provisions as follows:
The Interest Adjustment amount, which is due and payable upon completion of the change is $_____________. I/We acknowledge that all terms and
conditions of the mortgage remain unchanged and are valid and effective except as modified above and that changes will not be in effect until this
request has been agreed to by Home Trust Company. I/We am/are aware, that due to this request, the maturity date will change accordingly to reflect
the aforementioned changes. I/We acknowledge receipt of and concur with the information statement enclosed.
COMPLETE THE FORM BELOW AND RETURN TO HOME TRUST COMPANY. Please follow up with your mortgage administrator once the form is
sent as it is your responsibility to ensure that it was received.
Signed this ___________ day of ____________________________, 20_______.
___________________________________________________________________
___________________________________________________________________
Signature
Signature
___________________________________________________________________
___________________________________________________________________
Name of Borrower (Print)
Name of Borrower (Print)
___________________________________________________________________
___________________________________________________________________
Contact Phone Number
Contact Phone Number
HTC_PAYMCHREQEN_WF38860_062016
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Parent category: Legal