Financial Hardship Affidavit Page 2

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Borrower Acknowledgement
I verify that the events identified above have contributed to my inability to remain current
on my mortgage loan. I understand and acknowledge that the Lender may investigate
the accuracy of the event(s), and may require me to provide supporting documentation.
I understand that if I have misrepresented the event(s) or do not provide the required
documentation that the Lender may cancel this agreement and re-start foreclosure
activities.
_____________________________
________________
Borrower Signature:
Date:
_____________________________
________________
Email Address:
Cell Phone#:
_____________________________
________________
Co-Borrower Signature:
Date:
_____________________________
________________
Email Address:
Cell Phone#:

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