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If you have a HUD held secondary lien, NOVAD will be the correct contact. The payoff figure is the original amount, there is no interest and no monthly payments on those liens. You can contact NOVAD if you want to payoff the second lien. Otherwise it will sit behind the first until you sell/refi.
https://apps.hud.gov/offices/hsg/sfh/hcc/hcs.cfm?webListAction=search&searchstate=UT
You should speak with a housing counselor. They should be able to tell you what your options are at this point.
They should also look into a Reverse Mortgage from a lender. Both FNMA and FHA have good products. If they have a lot of equity in the property, they can take a line of credit or receive monthly payments. The home secures the advances. When they permanently move out of the house (or pass away)...
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