New Orleans Area Habitat for Humanity - Mortgage Payment Deferral Request Form (COVID-19) - Second Deferral 2020
In response to the COVID-19 pandemic, New Orleans Area Habitat for Humanity (NOAHH) is again offering a deferral of mortgage payments. In order to apply this deferral to your loan, please complete and submit this Mortgage Payment Deferral Form within 5 days of receiving. (This deferment request does not have any impact on your second mortgage or forgiveness provision of the second mortgage.)
Email address *
Please complete the deferral period you are requesting (no more than 4 months in mm/dd/yyyy-mm/dd/yyyy format): *
Reason for Second Deferral: *
Borrower #1 First Name - Please list all borrowers on the loan *
Borrower #1 Last Name - Please list all borrowers on the loan *
Borrower #2 First Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Borrower #2 Last Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Borrower #3 First Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Borrower #3 Last Name - Please list all borrowers on the loan (If not applicable, please mark N/A) *
Loan Number (Can be found on your monthly statement from Fidelity) *
Property Address *
City *
State *
Zip Code *
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 the requested months. I understand my next regular payment will be due at the end of my deferment period. I further understand this deferment will extend the maturity of my mortgage by the number of months deferred.
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.) *
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.) *
By initialing, I further specifically acknowledge that the maturity date of my mortgage will be extended by the number of months deferred and thus the final mortgage payment will be due after the date on the original note. (All Borrowers must initial.) *
By initialing, I further specifically acknowledge all other terms and conditions of the note and mortgage shall remain the same. (All Borrowers must initial.) *
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 *
Today's Date *
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