Request Consumer Loan and Mortgage Financial Relief

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Request Consumer Loan and Mortgage Financial Relief

Request COVID-19 Financial Relief

If you are experiencing financial difficulty as a result of the COVID-19 impact, we are here to work with you. Effective immediately, impacted clients may request to defer payments up to 90 days on on their First Merchants Bank installment and auto loans, mortgage loans and home equity loans without incurring late fees during the deferral period. The bank is also suspending vehicle repossessions and will not initiate foreclosure actions for residential properties through June 30, 2021.

Please download, fill out the following two documents, sign, scan and upload to form.

When the above documents are complete, fill out the form below, upload your signed documents and hit the "Submit" button. You can also call us for assistance and/or to discuss your options at 877.556.8721.

We are here and are ready to work with you.

First Name

Last Name

Street Address

City

State

Zip Code

Phone

I would like help with: (Check all that apply)

Mortgage Loan
Home Equity Loan
Auto Loan
Personal Loan
Other

Upload your signed COVID-19 Statement here

Add another

Upload your signed First Merchants Bank COVID-19 Affidavit here

Please read and check the boxes below to indicate your agreed consent to the following:

Delivery of scanned signatures or electronic signatures (except on our DocuSign platform)” to, or an executed counterpart of, this Note and Incumbency Certificate by facsimile, email transmission of a scanned image, or other electronic means, shall be effective as delivery of an originally executed counterpart. The parties hereto agree that “execution,” “signed,” “signature,” and words of like import in this document shall be deemed to include electronic signatures or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature or the use of a paper-based record keeping system, as the case may be, to the extent and as provided for in any applicable law, including, without limitation, Electronic Signatures in Global and National Commerce Act, the Uniform Electronic Transactions Act or the Uniform Commercial Code, and the parties hereto hereby waive any objection to the contrary.
I agree to use of my electronic signature
I assert that the signature in the attached scanned documents is my personal, original signature.

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