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County of Hawai'i <br /> Office of Housing and Community Development <br /> 1990 Kino'ole Street, Suite 105 <br /> Hilo, Hawaii 96720 <br /> (808) 959-4642 <br /> Application No. <br /> RESIDENTIAL EMERGENCY REPAIR PROGRAM <br /> VERIFICATION OF MORTGAGE <br /> OR DEED OF TRUST <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 envelop provided. If <br /> 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 /> 1990 Kino'ole Street, Suite 105 <br /> Hilo, Hawaii 96720 <br /> 808,1959-4642 <br /> PART I. Applicant Information (To be completed by applicant) <br /> Name of Applicant <br /> Address of Applicant <br /> Address of Mortgaged Property <br /> Mortgage Account Number <br /> PART II. Lender Information (To be completed by applicant) <br /> Name of Lender <br /> Address of Lender <br />