Mortgage Release Authorization And Good Standing

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MORTGAGE RELEASE AUTHORIZATION AND GOOD STANDING
Due to an increase of property foreclosures within the state of Georgia, the Housing Authority of Fulton County (HAFC)
requires all landlords to provide authorization for release of mortgage information in addition to certifying that the
mortgage (s) is in good standing.
In an effort to protect the welfare of the participants of the Housing Choice Voucher (HCV) Program, HAFC will only
accept landlords that have been verified and are in good standing. Properties that have mortgages in arrears and or in
foreclosure will not be admitted into the program. Landlords currently on the program whose property have fallen into
foreclosure will be ineligible to participate in the program for three years and will be responsible for returning any Housing
Authority Payment (HAP) assistance received effective from the date of foreclosure.
The information provided will only be used by the HAFC and will not be released to outside parties unless required by
law.
AUTHORIZATION FOR THE RELEASE OF INFORMATION
I hereby authorize any financial institution granting mortgage loans to release any information to HAFC pertaining to my
mortgage and participation in the Housing Choice Voucher (HCV) Program as requested and release any person, firm or
agency from any liability pertaining to the release of such information.
I hereby certify that the mortgage (s) is in good standing with the lending institution and payments are current.
I herby authorize HAFC to obtain information about my credit history that determines eligibility in the program.
My signature certifies that the information furnished by me is true and correct. I understand that any false or
misrepresentation of information or failure to disclose information requested on this form may be cause for denial of
participation in the Housing Choice Voucher Program.
If no balance owed on property, please indicate reason by checking one of the following:
Cash purchase
Loan paid in full
Fill out the information below and attach a copy of the most recent mortgage statement.
Borrower’s Name:
___
Borrower’s SSN: __ __ __ - __ __ - __ __ __ __ or EIN: __ __ - __ __ __ __ __ __ __
Borrower’s Email Address:
___
Lending Institution Name:
___
Account Number:
___
Lenders Address:
___
City:
__ State:
___
Zip Code:
___________
Phone:
_
Fax:
___________
Borrower Signature:
Date:
4273 Wendell Drive, Atlanta, Georgia 30336 • TELEPHONE 404-588-4950 • FAX 678-228-1465 •
Rev 05/11

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