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Home My WebLink AboutVerification of Mortgage COUNTY OF HAWAI'I OFFICE OF HOUSING AND COMMUNITY DEVELOPMENT 1990 Kinoole St #102 Hilo, Hawai'i 96720 (808) 961-8379 Loan #________ VERIFICATION OF MORTGAGE OR DEED OF TRUST The applicant identified below has applied for a Residential Repair Program loan that is provided through the County of Hawai'i. The applicant has authorized the County in writing to obtain verification of the status of existing mortgages on the property from any source named in the application. The requested information in this verification of mortgage is for the confidential use of this agency and the U.S. Department of Housing and Urban Development. We are required to complete our verification process in a short time and appreciate your prompt response. A self-addressed envelop has been included for your convenience. If you have any questions, please feel free to contact our office at the address below. Thank you for your cooperation. PART I. Applicant Information (to be completed by applicant) Name of Applicant ____________________________________________________________ Address of Applicant ____________________________________________________________ ____________________________________________________________ Address of Mortgaged Property ____________________________________________________________ ____________________________________________________________ Mortgage Account Number ____________________________________________________________ PART II Lender Information (To be completed by applicant) Name of Lender ____________________________________________________________ Address of Lender ____________________________________________________________ ____________________________________________________________ Part III Mortgage Information (To be completed by lender) Date of Mortgage ________________ Original Principal Amount $_______________ Total Monthly Payment: ________________ Current Principal Balance $________________ Monthly Payments: Principal and Interest $_________________ Mortgage Insurance $_________________ Real Estate Tax Escrow $_________________ Hazard Insurance Escrow $_________________ Other _______________ $_________________ Total Monthly Payment $_________________ Type of Mortgage: _____ Conventional _____ FHA _____ VA _____ Other ___________________________ Terms: _____ Fixed _____ ARM _____ Other ___________________________________________________ Lien Position: _____ 1st Mortgage _____ 2nd Mortgage _____ Other __________________________________ Are Payments Current? ___ Yes___ No, If No, amount in arrears $__________ and period of arrears ________ Termination fee or prepayment penalty $___________________ Completed By: Name ________________________________ Title ________________________________ Phone # _______________ Signature ________________________________ Date __________________ WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any Department or Agency of the United States as to any matter within its jurisdiction.