Internet Access to Account History

Account No.:

First Mortgage, Inc. is pleased to offer you access via web site to view and print your account history for the current and previous year. The "View Account History" link can be found on our "Sign In" page. Just click and you will be directed to enter your ID (contract no./ project no.) and password. Once the account is added to the on line program, I hereby opt out of any receipt notification by USPS mail. This access is available to a single party with multiple accounts (project no.) or multiple parties within a single contract. Please assign a password and a remind question to each party for internet access the account.

Printed Name: Password:

Remind Question & Answer:

Password:Printed Name:

Password:Printed Name:

Password:Printed Name:

Dated: Dated:

Remind Question & Answer:

Remind Question & Answer:

Remind Question & Answer:

4141 B Street, Suite 305 Anchorage, AK 99503 907-272-1541, 907-272-2046 www.f-m-i.biz / www.fmialaska.biz

*If you have multiple accounts, and have been assigned a project code, the ID will be uppercase P and assigned project code (no spaces).

EmailEmailSignature Signature

Printed NamePrinted Name

Your password will only be released if you properly identify yourself and provide the correct answer to your remind question. This form must be delivered to First Mortgage, Inc., before you can access any information. Attach additional sheets if necessary.

I am a Seller/Payee I am a Buyer/Payer