By signing below, I hereby certify that:
The above information is true and accurate, and if requested by the Seminole Nation of Oklahoma, can provide documentation in support of my attestation of need.
I experienced financial hardship after January 1, 2020.I am at risk of foreclosure, need mortgage payment assistance, need help reinstating my mortgage, need mortgage principle reduction, need a mortgage interest rate reduction, need down payment loan payment assistance, need assistance with insurance related to my home or mortgage, need utility assistance, need assistance to clear the title to my home, OR need repairs to maintain the habitability of my home.
I am at risk of experiencing homelessness, housing instability or currently reside in unsafe or unhealthy living conditions.
I am seeking assistance for my primary residence.My household income is equal to or less than 150% of the area median income.
I am NOT receiving any other form of Federal assistance to pay my mortgage or utility payment.
I understand that if any of the above information supplied is found to be false or if I provide false statements or make any materially false, fictitious, or fraudulent statement or representation, or make or use any false writing or document knowing the same to contain any materially false, fictitious, or fraudulent statement or representation, I can be required to return any support payments received and may be subject to criminal and/or civil sanctions.