Counseling Agreement/disclosure Form
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1
2National Foreclosure Mitigation Counseling
Program/Making Home Affordable
Outreach and Intake Project Foreclosure Mitigation
Counseling Agreement/Disclosure Form
Dakota County CDA
I understand that
provides foreclosure
mitigation counseling after which I will receive a written Action Plan consisting of
recommendations for handling my finances, possibly including referrals to other housing
agencies as appropriate.
Dakota County CDA
I understand that
receives Congressional
funds through the National Foreclosure Mitigation Counseling (NFMC Program) and
United States Department of Treasury (Treasury) funds through the Making Home
Affordable Outreach and Intake Project (MHA Project) and it is required to share some
of my personal information with the entities as described and acknowledged in the
“Combined Privacy Act Notice and Tennessen Warning,” for the purposes of program
monitoring, management, compliance, and evaluation.
I understand that a counselor may answer questions and provide information, but not
give legal advice.
I understand that, in addition to foreclosure mitigation counseling,
Dakota County CDA
also provides the following types of services:
Homeownership Counseling & Education; Homeownership Loan Programs; Rental Subsidy
Programs; Affordable Rental Property Management
Dakota County CDA
I understand that
is required to fully disclose
potential and actual conflicts of interest so that I am in a position to make fully informed
decisions.
Dakota County CDA
I understand that
or one of its foreclosure
mitigation counselors may have one of the following conflicts through referral or in fact:
We hold or service a mortgage secured against your property and have a stake in
the performance of the loan;
We purchase, redevelop, and sell, for a fee, properties at risk of, or involved in
foreclosure;
We receive financial support from mortgage servicer or investor. Payment may be
based on acceptance of a loss mitigation offer.
Other (Specify)
NFMC/MHA Foreclosure Mitigation Counseling Agreement/
Disclosure Form
1
05/01/2013
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