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Www.rmic.com HARP Modification Request Form HARP Same Servicer Email: PSModificationGroup RMIC.com or Fax: (800) 849-7642 Please complete all of the applicable information below: HARP New Servicer Fax: (877) 764-2669 Must attach 1003 Form INSURED S INFORMATION LOAN INFORMATION RMIC Master Policy Number Current Borrower Name Co Borrower Name Insured s Name (Company) SS# SS# Co Borrower Name Co Borrower Name SS# SS# Insured s Street Address Insured s City Insured.

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