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Consumer Loan Assistance Request Form Consumer Loan Assistance Request Form Customer One Name* Customer Two Name Address * City * State * ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWY Phone Number * Customer One Email Address * Confirm Customer One Email Address * Confirm Email Address Customer Two Email Address Confirm Customer Two Email Address Confirm Email Address Last 4 digits of the loan account* Loan Type Mortgage Personal Loan or Auto Loan Home Equity Loan Home Equity Line of Credit Credit Card Reason For Natural Disaster Assistance Property Damage/Home Repairs Job Loss or Loss of Income Change of Employment Status Medical Expenses Relocation/Temporarily Displaced Unexpected Expenses New Expenses from Childcare Costs OtherOther A forbearance plan is an agreement that allows borrowers experiencing a temporary hardship to make a reduced mortgage payment or no payment at all during the plan's term. Under this forbearance plan, the payments for your loan will be suspended for 90 days. The deferred principal and interest payments from the forbearance period will be due at the end of the loan in the form of a one-time or balloon payment. Interest will not continue to accrue on the deferred payments. Your obligation to make payments on your loan will be deferred for 90 days. Please note that the maturity date of your loan will be extended by three months and during the payment deferment period, interest will continue to accrue on the loan. A forbearance plan is an agreement that allows borrowers experiencing a temporary hardship to make a reduced payment or no payment at all during the plan's term. Under this forbearance plan, the payments for your loan will be suspended for 90 days. The deferred principal and interest payments from the forbearance period will be due at the end of the loan in the form of a one-time or balloon payment. Interest will not continue to accrue on the deferred payments. Your obligation to make interest-only payments on your home equity line of credit will be deferred for 90 days. Please be advised the amount of interest that is deferred will be billed over the next 24 billing cycles starting with your next payment due. The deferred interest does not accrue additional interest and will remain as deferred interest until paid in full. You will receive deferment in one (1) monthly increment when you apply and must reapply each month, not to exceed a total of three (3) billing cycles. You will not incur a late fee during the deferment period. The terms of your credit card agreement with WSFS will not otherwise change during that time however, the interest for the annual percentage rate, as determined under that agreement, will accrue as stated in your agreement. Required Agreement * I/we request to defer my/our loan payment(s) for 90 days based on the above-selected Deferred Loan Payment option, as a result of the FEMA Declared Natural Disaster where I/we reside. I/we understand that by submitting this request using this form I/we are agreeing to complete all requisite documentation for this request through DocuSign. I/we acknowledge that utilizing DocuSign requires me/us to provide a valid email address for all borrowers on the loan, and that all borrowers must electronically sign the Deferred Loan Payment Request. The electronically signed documentation will be the written confirmation of your approval for payment deferral. We will contact you if we have any questions or need additional information. Captcha Submit If you are human, leave this field blank.