Nevada Homeowners Assistance

Apply for Assistance

Thank you for considering THHP for mortgage assistance. Please complete the following application to have your situation reviewed by our counselors.

Full Name: *

Address

Street Address

Address continued

City

State

Zip

Phone #: *

( )

Primary E-Mail: *

Lender: *

Mortgage Information

Property Address: *

City, State, and Zip Code *

Mortgagor: *

Co-Mortgagor

Loan Number: *

Lender Phone #: *

Lender Fax #: *

Loan Amount: *

Date of Loan *

Current Interest Rate: *

Type of Loan: *

Term of Loan *

Fixed or Adjustable Rate: *

How / When Does it Adjust: *

Principal & Interest Payment: *

Escrow Payment: *

Balloon Date: *

Prepayment Penalty: *

Current Principal Balance: *

Is Loan Current: *

Reinstatement Amount: *

Loan Ever Been Modified? *

Loan Ever Been Reaffirmed? *

Is So, Terms of The Change: *

Is There a Second Mortgage? *

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