SEND TO: mtgeconfirmations@hpd.nyc.gov NYC Department of Housing Preservation and Development 100 Gold Street, Room 8D-06 New York, NY 10038 Attention: Mortgage Services MORTGAGE CONFIRMATION REQUEST FORM Complete 1 Form for each Mortgage Request Type: Servicing Fee: Processing Time*: Mortgage Confirmation: Seeking notice stating the loan balance over a specified period (principal, interest, fees etc.) Not Applicable 5 Business Days *Processing Time begins upon submission of complete application along with required documentation. Timing may vary depending on thenumber of pending requests, completeness of submission, and responsiveness of borrower. MORTGAGE INFORMATION HPD Program: Loan Number: Original Loan Amount: Loan Servicer: HPD (Dept. of Housing Pres. & Dev.)CPC (Community Pres. Corp.) HDC (NYC Housing Dev. Corp.)Other Unknown Construction Status: Under ConstructionConverted to Permanent FinancingConstruction Completed PROPERTY INFORMATION** Project/Development Name: Street Address: Borough/Block/Lot: **Please list all addresses associated with the mortgage. If additional space is needed, please attach table in similar form to request. BORROWER INFORMATION Name(s): EIN: Street Address: City, State, Zip: Phone: Email: CONTACT INFORMATION (If Different from Above) Name(s): Company: Relationship to Borrower: Street Address: City, State, Zip: Phone: Email: SUPPORTING DOCUMENTS HPD Mortgage Note (if available)HPD Enforcement Mortgage (if available)Other American LegalNet, Inc. www.FormsWorkFlow.com