COVID-19 Hardship Notification Form

Question #1

Have you experienced a financial hardship due to COVID-19 which has impacted the ability to make the required monthly mortgage loan payment including but not limited to, unemployment, reduction in regular work hours, or illness of a borrower/co-borrower or dependent family member?

Borrower must select an option yes or no.

Question #2

I understand that by accepting a forbearance plan all unpaid monthly mortgage payments are due in full at the end of the forbearance period, at which time my regular monthly payments will also resume.

Borrower must accept forbearance plan terms.

Question #3

It is certified and acknowledged that all of the information provided is truthful, and the hardship I identified contributed to the need for mortgage relief. Knowingly submitting false information may violate federal and other applicable law.

Borrower must acknowledge that all information provided is truthful.

Beware Of Scams

There are an increasing number of scammers trying to take advantage of the COVID-19 pandemic. If anyone contacts you about falsely promising you mortgage relief or foreclosure assistance, the best defense is to say NO. Please be aware of anyone contacting you through fraudulent emails, text messages or phone calls.

If you need mortgage relief, please contact us first.

Borrower Contact Information


Your information has been submitted. A Gold Star Mortgage representative will be in contact with you shortly.