COVID-19 Assistance Form
Online form for customers requesting assistance for the first time.
COVID-19 Assistance Update Form
Online form for customers currently enrolled in a pandemic forbearance assistance plan.
Payoff Statement Request Form
Online form for both borrowers and third parties to request a loan payoff statement. Third party requests require borrower authorization documentation as part of the form submission.
Third Party Authorization
Authorizes Rushmore to release loan information to others.
Automatic Payment Authorization
Allows your loan payment to be automatically withdrawn from your bank account. (This form is only required when manually requesting automatic payments; it is not required if you set up automatic payments on our website.)
Borrower Assistance Application
Used to evaluate a customer for homeowner assistance options.
Customer Financial Statement
Itemizes customer’s income and expenses.
Escrow Authorization
Authorizes Rushmore to setup an escrow account for taxes and/or insurance.
Escrow Cancellation Request
Request cancellation of an existing escrow account.
Successor in Interest
Request a new Successor in Interest.
Insurance Loss Information Form
Request a claim to the insurance company for a disaster/damage to the property.
Privacy Statement
Notice to customers about sharing personal information.
W-9 Form
Used to confirm a tax identification number.
Social Security Number Correction Form
Used to correct an incorrect social security number.
California Opt Out Notice
Allows customers in California to opt-out from sharing personal information.
Hardship Letter
Describes the hardship preventing the customer from making full payments.
Equity Line of Credit Certification of Unauthorized Use
Please return this certification only if you are reporting unauthorized charges.
Equity Line of Credit Change Request
Please return this form only if you are requesting a change to your equity line of credit.
Equity Line of Credit Reinstatement Request
Please return this form only if you are requesting reinstatement to your equity line of credit.
California Consumer Protection Act Request for Information
Allows customers in California to request information regarding the California Consumer Protection Act.