New Orleans Area Habitat for Humanity - Mortgage Payment Deferral Request Form (COVID-19)
In response to the COVID-19 pandemic, New Orleans Area Habitat for Humanity is offering a 90 day deferral of mortgage payments, effective April 1, 2020. In order to apply this deferral to your loan, please complete and return this Mortgage Payment Deferral Form by April 10, 2020. (This deferment request does not have any impact on your second mortgage or forgiveness provision of the second mortgage.)
Email address *
Borrower #1 First Name - Please list all borrowers on the loan *
Your answer
Borrower #1 Last Name - Please list all borrowers on the loan *
Your answer
Borrower #2 First Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Your answer
Borrower's #2 Last Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Your answer
Borrower #3 First Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Your answer
Borrower #3 Last Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Your answer
Loan Number (Can be found on your monthly statement from Fidelity) *
Your answer
Property Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Due to the international health crisis surrounding the COVID-19 pandemic, I request that New Orleans Area Habitat for Humanity defer my mortgage payments for 90 days. I understand my next regular payment will be due on July 1, 2020. I further understand this deferment will extend the maturity of my mortgage by three months.
By initialing, I specifically acknowledge the deferral of my mortgage payment will cause an escrow shortage and/or deficiency upon my next annual escrow analysis and will result in a higher monthly payment. (All Borrowers must initial.) *
Your answer
By initialing, I further specifically acknowledge that I have the option to make full or partial escrow payments to Fidelity and that it is my responsibility to clearly indicate any such payment as escrow. (All Borrowers must initial.) *
Your answer
By initialing, I further specifically acknowledge that the maturity date of my mortgage will be extended by three months and thus the final mortgage payment will be due three months after the date on the original note. (All Borrowers must initial.) *
Your answer
By initialing, I further specifically acknowledge all other terms and conditions of the note and mortgage shall remain the same. (All Borrowers must initial.) *
Your answer
I acknowledge that by checking the box below, typing my full name, and submitting this form, I agree to the terms of the agreement stated above and my submission constitutes my electronic signature. ALL BORROWERS MUST CHECK & SIGN. *
Required
Signature of all Borrowers *
Your answer
Today's Date *
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