• “Making the American dream a reality for all.”

  • Borrower Authorization of Third Party

  • Third Party Information(all applicable fields must be completed)

  • For non-profit agencies only

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  • For attorneys only **

  • Attorney who represents Borrower must sign below

  • Third Party Acknowledgement

  • The undersigned, on behalf of the Third Party, represents that: (i) it is in compliance with Regulation O (Mortgage Assistance Relief Services), if applicable, and all other applicable laws and regulations; and (ii) the Third Party information provided above is true and correct. The undersigned acknowledges that a misrepresentation or omission of fact made in connection with a government program such as Making Home Affordable may result in civil/criminal prosecution.

  • Signature of Third Party:

  • Thomas Griffin - HUD Housing Couneslor

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  • Chris Castellanos - HUD Housing Counselor

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  • This Authorization expires one year from the date signed unless Borrower cancels it earlier by writing to the Servicer or by completing an Authorization of a different Third Party.

  • Do not sign this form until the form is fully completed. Keep a copy of this form.

     

    Be aware of scams!  Federal and State government agencies have prosecuted hundreds of companies and lawyers who illegally charge up-front fees.


    Report scams at HOPE Hotline: 888-995-HOPE (4673)

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  • This form should be transmitted to the Mortgage Servicer as soon as possible and no later than 90 days after the date signed.

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  • Should be Empty: