Homeowner COVID-19 Hardship Declaration & Affidavit

Please fill out this form if you are a current OakCLT homeowner and are seeking financial support as a result of a COVID-19 related hardship.









Names of all other household members


I declare, under penalties of perjury, as follows:
1. I pay a mortgage to:


4. My household has lost significant income due to COVID-19 and is now unable to pay mortgage, property taxes, ground lease fees, home insurance, or other financial obligations under our mortgage and ground lease with OakCLT because of one or more of the following reasons.
  • Loss of income caused by the COVID-19 pandemic. 
  • Increased out-of-pocket expenses directly related to performing essential work during the COVID-19 pandemic. 
  • Increased expenses directly related to health impacts of the COVID-19 pandemic.
  • Childcare responsibilities or responsibilities to care for an elderly, disabled, or sick family member directly related to the COVID-19 pandemic that limit my ability to earn income. 
  • Increased costs for childcare or attending to an elderly, disabled, or sick family member directly related to the COVID-19 pandemic. 
  • Other circumstances related to the COVID-19 pandemic that have reduced my income or increased my expenses. Any public assistance, including unemployment insurance, pandemic unemployment assistance, state disability insurance (SDI), or paid family leave, that I have received since the start of the COVID-19 pandemic does not fully make up for my loss of income and/or increased expenses. 


7. My household does not have sufficient savings or liquid assets to make this monthly payment.

NOTE: a forbearance is a temporary postponement of required payments.
I hereby swear and affirm under penalty of perjury that the above information is true and correct to the best of my knowledge and belief. 

I am signing this Declaration and Affidavit by electronically entering my name below .



OakCLT Contact