COVID-19 Assistance Request

If you’ve been financially impacted by COVID-19 and need help making your mortgage payment, please review the information below prior to completing this form.

Please note, based on your financial impact, you may qualify for a forbearance plan or a payment deferral. A forbearance plan pauses your payments for a period of time. It is important to understand that any paused payments will need to be repaid at the end of the forbearance period. We will work with you at that time to provide assistance through any available options. Forbearance is an option that should be used only if it is truly needed. If you are able to continue making your payments, we encourage you to do so.

Loan Number

First Name

Last Name

Best Contact Phone Number*

Email Address

*If the number provided is a mobile phone, do you authorize Rushmore to contact you via automated dialer and/or text?

Property Address

City

State

5 Digit ZIP Code

Have you been financially impacted by Covid-19 by loss of income or employment?

If you have been financially impacted by COVID-19, are you unable to continue making your current or future mortgage payments?

Date that your finances were impacted?

Please click on the box below to verify your hardship.

I certify that I am currently experiencing hardship due to COVID-19.

You may, if you choose, provide details on COVID-19's impact to your finances. Examples: Laid off from a current job, work hours have been reduced, caring for a sick family member, etc.

Hardship Details (Optional)

Please Note: The owner of your mortgage may request documentation that supports the reason for hardship noted above. By checking this box and clicking "Submit", you hereby certify that all information entered is true and accurate, and understand additional documentation may be required to review you for future assistance.

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