At Risk Extension

At Risk Extension

Request for Extension of Time Due To Critical Circumstances

Reverse Mortgage Servicing Department P.O. Box 40724

Lansing, MI 48901 Phone (866) 446-0026

Fax (866) 447-2022

Instructions

This application is not valid for borrowers with properties located in New York. Please contact the Default Assistance Department at 866-446-0026 for an applicable application.

If you have a HUD-insured HECM reverse mortgage loan, in order to determine if you are eligible for an extension of time to delay the initiation or completion of foreclosure due to unpaid property charges such as property taxes or home insurance, please fill out and return this form. Your request must also include applicable supporting documentation to provide evidence as to your claim. If viewing this form online, save to your computer and complete the form. Print out and sign. Return all pages to one of the following contact points listed below.

By email Scan to an image or PDF file and upload to or email to AtRiskExtensions@.

By fax Fax to (866)-447-2022

By mail Reverse Mortgage Servicing Department P.O. Box 40724 Lansing, MI 48901

Request for Extension of Time and Certification of Critical Circumstances

NOTICE: The U.S. Department of Housing & Urban Development (HUD) has the sole and exclusive discretion to determine whether you are eligible for an At Risk extension. Although you must disclose the nature of your critical circumstances, we are not requesting detailed medical information from you.

Borrower Name _____________________________________

Date ________________________

Property Address _____________________________________ HECM Loan No: _______________________

_____________________________________

I have critical circumstances and request relief from foreclosure for the reason below: (Check one) ___ A terminal illness ___ A long-term physical disability ___ Family member with a terminal illness receiving care at the property address shown above ___ Other (please describe)

YOU MUST CAREFULLY READ AND SIGN THE CERTIFICATION AND ACKNOWLEDGMENT ON THE NEXT PAGE.

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At Risk Extension

Request for Extension of Time Due To Critical Circumstances

Reverse Mortgage Servicing Department P.O. Box 40724

Lansing, MI 48901 Phone (866) 446-0026

Fax (866) 447-2022

Certification and Acknowledgment

I certify, acknowledge and agree to the following:

1. The youngest living HECM borrower is at least 80 years of age.

2. If I am required to provide additional information or documentation, I will timely respond to all requests and timely submit such information or documentation.

3. I understand and consent to Celink disclosing and sharing my information, and information about any foreclosure alternative I receive, with any owner, investor, guarantor (including HUD) or servicer of any loan, or any subordinate lien holder (if applicable), along with their agents or authorized representatives (authorized parties).

4. All of the information stated in this Certification is true. I understand that knowingly submitting false information may violate federal and other applicable laws. I also understand that accuracy of my statements may be reviewed by and relied on by Celink or any of the authorized parties.

5. By providing my telephone phone number, I consent to being contacted via voice call, text message, or pre-recorded message by the Servicer or its authorized third party through an automated dialing system regarding my account at any telephone number, including mobile telephone number, I have provided.

6. I understand that by signing this Certification, I am agreeing to toll (extend) any statute of limitations applicable to an action to foreclose on the deed of trust or mortgage securing my HECM loan by Celink, or any owner, investor, guarantor (including HUD) or services of my loan, or any subordinate lien holder (if applicable) along with their agents or authorized representatives. The applicable statue of limitations will be tolled effective as of the date of the original due and payable event giving rise to my need for the extension requested by this Certification and will be tolled until this extension expires (and it is not renewed by HUD) or my HECM loan becomes due and payable by another default event in the future.

I understand this information is required by HUD to evidence any At Risk extension request.

Borrower Signature Co-Borrower Signature (if applicable)

Date Date

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atriskext_112321

At Risk Extension

Request for Extension of Time Due To Critical Circumstances

Reverse Mortgage Servicing Department P.O. Box 40724

Lansing, MI 48901 Phone (866) 446-0026

Fax (866) 447-2022

*FOR USE BY AN ATTORNEY-IN-FACT ONLY (if applicable)

*POA document must be attached hereto, unless already provided and approved by Reverse Mortgage Servicing Department.

Printed Name of Attorney-in-Fact

as Attorney-in-Fact for Printed Name of Borrower

Signature of Attorney-in-Fact

Date

Cell Phone & Email Consent

By providing my/our telephone phone number(s) and/or email address(es) below, I/we consent to be contacted via email, text message, voice call, or through an automated dialing system, or pre-recorded voice message by the Servicer or its authorized third party for informational and account service calls related to my/our account, but not for telemarketing or sales calls, at any telephone number, including my/our mobile telephone number, or email addresses(es) that I/we have provided. Message and data rates may apply. I/we understand that we may contact the Servicer at any time to change these preferences.

Reverse Mortgage Loan #: Borrower Name(s): Borrower Cell Phone: Borrower Email Address: Co-Borrower Cell Phone: Co-Borrower Email Address: Power of Attorney Cell Phone: Power of Attorney Email Address:

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