Hardship Affidavit Form Page 2

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Hardship Affidavit Form
Borrower /Co Borrower Acknowledgement and Agreement
1. I/we certify that all of the information in this Hardship Affidavit is truthful and the event(s) identified above
has/have contributed to my need for assistance with the mortgage loan.
2. I/we understand and acknowledge West Virginia Housing Development Fund may investigate the accuracy of my
statements and may require supporting documentation. These items will need to be submitted in a timely
matter.
3. I/we understand West Virginia Housing Development Fund may pull a credit report for all borrowers obligated
on the note relating to the mortgage loan.
4. I/we certify that the property secured by this mortgage loan is my primary residence.
5. I/we understand that West Virginia Housing Development Fund will use this information to evaluate my
eligibility for assistance with my mortgage loan, but is not obligated to offer me assistance based solely on this
affidavit.
6. I/we understand that in order to be considered for assistance monthly contact is a requirement.
7. I/we understand there will be a trial payment period prior to permanent adjustment on the mortgage loan.
________________________________________
___________________________________________
Borrower Signature
Date
Co-Borrower Signature
Date
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P a g e

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