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Request for Mortgage Assistance Form

Request FOR Mortgage Assistance FORMC ompleting this form will help us understand your current ll work with you to find a solution as quickly as possible. Loan Number: _____For the purposes of this form, a Customer is someone who is obligated on the Note for the loan orinterested in assuming responsibility for the Note. If another person not on the Note has communityproperty or similar rights per applicable state law, please provide their name: _____CUSTOMERHARDSHIP AFFIDAVITDESCRIBE YOUR HARDSHIP: _____ Date situation began:_____/_____/_____I believe my situation is:TemporaryLong termCheck all boxes that explain your situation:Please send us the documents that apply:Step 1: Tell us about youUnemployment start date: _____ Are you seeking new employment? Are you available for employment?For FHA, we need: An explanation of why the obligations are excessive, and Doc uments that support excessive obligation - including but notlimited to monthly billing statements and home repair invoicesNo hardship documentation is required as long as you have submitted documents thatshow your income.

program at my request and for informational purposes, and not as an attempt to impose personal liability for the mortgage debt. 3.If I am eligible for a Trial Period Plan, Repayment Plan or Forbear-ance Plan, and I accept and agree to all the terms of such a plan, I also agree that the terms of this Acknowledgment and Agreement are

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