Date
Fannie Mae Loan Number FHA/VA/MI Case Number
Mortgagor (or Trustor)
Property Address
The Mortgagor (or Trustor) identified above (hereinafter referred to as the "Mortgagor") does hereby apply for
-.of the payment provisions of the above-referenced mortgage loan
("Modification" or "Extension")
covering an indebtedness owing from the Mortgagor to Fannie Mae (hereinafter referred to as "Mortgagee"). evidenced by a
note (or bond) and secured by a real property mortgage or trust deed (said note or bond and real property mortgage or trust
deed are hereinafter referred to as the "Mortgage"), and the Mortgagor represents and agrees as follows:
( 1) Mortgagor is now the owner and holder of the real property encumbered by said Mortgage. recorded in the public records
in the County of .State of .in book .page .or document or
file number .
(2) Under the terms of said Mortgage. there remains unpaid as of the first day of the month in which this Agreement is
made. the sum of $ of principal, $ of interest thereon.
$ of advances made by the Mortgagee thereunder. and $ of interest on such advances.
aggregating a total sum of $ .for which amount the Mortgagor is indebted to the Mortgagee
under said Mortgage. which is a valid lien. to which Mortgagor has no defenses. offsets. or counterclaims.
(3) Mortgagor hereby deposits with the Mortgagee, if such deposit is required by the Mortgagee. the sum of
$ .which is to be applied to the present balance due on the principal of said Mortgage (including
advances. if any). and the sum of $ .which is to be applied to the delinquent interest due on the said princi-
pal (and advances. if any), with the application of said deposited amounts to be made as of the effective date of this Agree-
ment. If the modification or extension is not agreed to by Mortgagee. said deposited amounts shall be returned to Mortgagor.
(4) Mortgagor agrees the terms of said Mortgage are modified or extended relative to the payment of the said indebtedness
by providing for payment of the balance of the principal. including any unpaid interest due thereon (after the aforementioned
deposits, if any. have been applied thereto) as follows: Said total balance of $ is to be paid. plus
interest on the unpaid balance at a rate of % per annum (with such rate changing periodically if required by the
provisions of the mortgage note), in equal monthly installments of $ (excluding the sums required to be
deposited for the payment of insurance. taxes. etc.). The first of said installments shall become due and payable on the
day of .--' and the remaining installments. as they may be changed periodically if
required by the provisions of the mortgage note. successively on the day of each and every month thereafter, until
said mortgage indebtedness is fully paid. except that. if not sooner paid. the final payment of principal and interest shall be
due and payable on the day of .-' which is the present or extended maturity date.
(5) Mortgagor agrees to make the payments as specified in Paragraph (4) hereof and understands and agrees that:
(a) All the rights and remedies. stipulations, and conditions contained in said Mortgage relating to default in the making of
payments under the Mortgage shall also apply to default in the making of said modified payments hereunder.
(b)All covenants. agreements. stipulations. and conditions in said Mortgage shall be and remain in full force and effect.
except as herein modified. and none of the Mortgagor's obligations or liabilities under said Mortgage shall be diminished or
released by any provisions hereof. nor shall this Agreement in any way impair. diminish. or affect any of the Mortgagee's
rights under or remedies on the Mortgage, whether such rights or remedies arise thereunder or by operation of law. Also. all
rights of recourse to which the Mortgagee is presently entitled against any property or any other persons in any way obligated
for. or liable on, the Mortgage are expressly reserved by the Mortgagee.
(c) All costs and expenses incurred by Mortgagee in connection with this Agreement. including recording fees. title examina-
tion. and attorney's fees. shall be paid by the Mortgagor and shall be secured by said Mortgage, unless stipulated otherwise
by Mortgagee.
(d)Mortgagor agrees to make and execute such other documents or papers as may be necessary or required to effectuate the
terms and conditions of this Agreement which. if approved and accepted by Mortgagee. shall bind and inure to the heirs.
executors, administrators. and assigns of the Mortgagor.
