Loan Notice of Error / Request For Information Form
Loan Servicing Department
180 Haven Street, Reading, MA 01867

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If you believe an error has occurred on your loan, or you would like to request information regarding your loan account please complete the information below.

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Borrower(s) Name:
Borrower(s) Mailing Address:
Phone Number:
Best Time to Call: Comment:
Alternative Phone Number:
Best Time to Call: Comment:
Email Address:

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Property Address (if different from mailing):
Regarding my loan account, I would like to request the following information or make the bank aware of the following error:
Please provide a brief description of any previous attempts, if any, to obtain information or resolve the error above:

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By signing below I acknowledge that I am the primary or joint borrower on this loan, and I am the person making the above request.
Name:
Date:
Account or Social Security Number:

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Enter the security code shown above
in UPPER CASE.

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