PLEASE FILL OUT ONE FORM FOR EACH PERSON ON THE LOAN WHO'S INCOME HAS BEEN AFFECTED
By signing this form, I am attesting, under penalty of perjury, that my income has been negatively affected by the COVID-19 Coronavirus pandemic and I am requesting Monroe Savings Bank defer my payment(s) up to 90 days on the above loan(s). All other terms, collateral and conditions remain the same. Examples of income being affected negatively include but are not limited to: having the virus, being quarantined (self or mandatory), job has been eliminated or hours reduced (temporarily or permanently), or other unexpected burdens created by the virus.
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