The statute requires a mortgagor to send the Notice prepared by PHFA*. If you send anything different, you may be at risk. The notice is posted on the PHFA website:http://www.phfa.org/forms/hemap/AppendixA.pdf35
As you may know, you also need to attach a list of the counseling agencies, also available on the website (both, a combined list, and one for each county). Here is the current list for all counties: http://www.phfa.org/forms/counseling_agencies/hemap_agencies/hemap.pdf
*The Statute says:
(a) Any mortgagee who desires to foreclose upon a mortgage shall send to such mortgagor at his or her last known address the notice provided in subsection (b) . . . .
(b)(1) The agency shall prepare a notice which shall include all the information required by this subsection and by section 403 of the act of January 30, 1974 (P.L. 13, No. 6), referred to as the Loan Interest and Protection Law and referred to commonly as the Usury Law. This notice shall . . . .
* * *
(3) The proposed notice under paragraph (1) shall be published by the agency in the Pennsylvania Bulletin within one hundred twenty (120) days of the effective date of this paragraph. The notice actually adopted for use by the agency shall be promulgated as part of the program guidelines required by section 401-C(b).