Mailing Address: 1725 I Street NW, Suite 150

Mortgage Payment Receipt

Washington, DC 20006-2406
T 202 212 6400 F 202 683 2380 BFSFCU.org

Member Name Date

Mortgage Account Number Method of Payment (check one)

o Check # _______________ enclosed
o Transfer from account number_______________________________

Amount Paid Daytime Phone Number Member Signature

Payment Type(s): Credit Union Use Only

o Monthly Payment Accepted by:
o Additional Principal Payment _________________ _____________
o Escrow Only Payment Initials Date

If you have questions regarding your mortgage payment, please call our Mortgage Servicing Section at (202) 212-6450.
BFLS121.0
20050316