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County of Hawai`i <br />Office of Housing and Community Development <br /> <br />Hilo, Hawai'i 96720 <br />(808) 959-4642 <br /> <br /> <br /> Application No._____ <br />RESIDENTIAL REPAIR PROGRAM <br />VERIFICATION OF MORTGAGE <br />OR DEED OF TRUST <br /> <br /> <br />The client identified below has applied for a housing rehabilitation loan from the Office of Housing <br />and Community Development (OHCD). The applicant has authorized the OHCD in writing to obtain <br />verification of the status of existing mortgages on the property from any source named in the <br />application. The requested information in this verification of mortgage is for the confidential use of <br />the OHCD and the U.S. Department of Housing and Urban Development. Please furnish the <br />information requested below and return this form using the stamped, addressed envelope provided. <br />If you have any questions please feel free to contact our office. Thank you for your cooperation. <br />County of Hawai`i <br />Office of Housing and Community Development <br /> <br />Hilo, Hawai'i 96720 <br />(808) 959-4642 <br />PART I. Applicant Information (To be completed by applicant) <br />Name of Applicant _____________________________________________________ <br />Address of Applicant _____________________________________________________ <br /> _____________________________________________________ <br />Address of Mortgaged Property _____________________________________________________ <br /> _____________________________________________________ <br />Mortgage Account Number _____________________________________________________ <br />PART II. Lender Information (To be completed by applicant) <br />Name of Lender _____________________________________________________ <br />Address of Lender _____________________________________________________ <br /> _____________________________________________________ <br />