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How to Complete Your SSA-89 Form Online

Follow these easy steps to fill out your SSA-89 form for mortgage servicing. This guide will help you complete the form accurately and efficiently.

 

Step-by-Step Instructions

  1. Access the SSA-89 Form
    Download the SSA-89 PDF formOpens overlay from the official Social Security website.
    Open the form using a PDF editor that lets you type directly into the fields (such as Adobe Acrobat Reader or an online PDF filling tool).
  2. Review the Form Instructions
    Carefully read the instructions at the top of the form to understand its purpose and what information you’ll need to provide.
  3. Enter Your Personal Information
    • Name: Type your full legal name exactly as it appears on your Social Security card.
    • Social Security Number (SSN): Enter your 9-digit SSN. Double-check for accuracy.
    • Date of Birth: Enter your date of birth in MM/DD/YYYY format.
    • Other Names Used: If you’ve used other names (such as a maiden name), enter them here.
  4. Fill Out Reason for Authorizing Consent
    Tick the box for Other.
    In the space provided, enter: Mortgage Service
  5. Enter Company Information
    Use the following details:
    Company Name: JPMorgan Chase Bank, N.A.
    Company Address: P.O. Box 469030, Glendale, CO 80246
  6. Enter Agent Information
    Use the following details:
    Agent’s Name: Automation Research, Inc.
    Agent’s Address: 1651 NW Professional Plaza, Columbus, OH 43220
  7. Read and Confirm Authorization
    Carefully read the authorization statement on the form.
    Confirm your understanding and agreement by checking any required boxes or fields.
  8. Sign the Form Electronically
    Use your PDF editor’s electronic signature feature to sign the form.
    Enter the date you are signing (MM/DD/YYYY).
    Provide your contact information (phone number or email) if requested.
  9. Review All Entries
    Double-check every field for accuracy and completeness.
    Make sure all information matches your official documents.
  10. Save and Submit the Form
    Save a copy of your completed form for your records.
    Submit the form as instructed.

Tips for Accurate Online Completion

  • Type clearly and accurately in each field.
  • Do not use abbreviations unless specified.
  • Ensure all required fields are filled.
  • Save a copy of your completed form before submitting.

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For questions or assistance, please contact your loan officer or customer support.