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Fannei Mae Form 1021 Page 2 of 4 Aprl 2009 Information for Government Monitoring Purposes The following information is requested by the federal government in order to monitor compliance with federal statutes that prohibit discrimination in housing. You are not required to furnish this information, but are encouraged to do so.
In order to qualify for _____________________________’s (“Servicer”) offer to enter into an agreement to modify my loan under the federal government’s Home Affordable Modification Program (the “Agreement”), I/we am/are submitting this form to the Servicer and indicating by my/our checkmarks (“ ”) the one or more events that ...
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